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Q109A
Q109A – Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Cervical Cancer Screening - 80%
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
The Cumulative Preventive Care Management Service Enhancement Code for Cervical Cancer Screening is a bonus paid to eligible physicians who achieve an 80% screening rate. This code must be billed at $0.00 to trigger the $2200 bonus payment. It is available to physicians in specific patient enrollment models (RNPGA, BSM, GHC, SJHC, SEAMO, WHA, CCM and FHG) who meet the minimum roster size.
When to Use
- Use Q109A when your rostered patient data confirms you have reached the 80% cervical cancer screening threshold for eligible patients aged 25-74.
- Submit this code once annually as a tracking mechanism to trigger the $2200 payment once your Ministry-provided preventive care report confirms the target is met.
Common Pitfalls
- Billing Q109A before the Ministry has officially verified your screening rate, which results in a rejection or an audit flag.
- Attempting to bill this code if you are not in an eligible enrollment model like FHG or CCM, as it is strictly reserved for specific primary care funding models.
Billing Tips
- Cross-reference your internal EMR screening reports with the Ministry's 'Preventive Care Bonus Report' before submission to ensure your data matches their calculation of your 80% threshold.
- Ensure you are not confusing Q109A with the Q105A-Q108A series, as those codes track different preventive care metrics and have distinct bonus structures.
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