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Q110A
Q110A – Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Mammography - 55%
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
The Cumulative Preventive Care Management Service Enhancement Code, also known as the Preventive Care Bonus for Mammography, is awarded to eligible physicians who achieve a 55% screening rate. The associated payment is $220. This is an enhancement code and should be billed at $0.00.
When to Use
- Use Q110A when your rostered female patients aged 50-74 have reached the 55% threshold for completed mammograms within the specified look-back period.
- Submit this code once you have confirmed your screening performance data via the Ministry's Preventive Care Bonus report to trigger the $220 payment.
Common Pitfalls
- Billing Q110A when your actual screening percentage is below 55%, which will result in a rejection or clawback during an audit.
- Confusing Q110A with Q111A, which applies to different preventive care targets; ensure you are specifically claiming the mammography bonus.
Billing Tips
- Always bill Q110A at $0.00 as it is an enhancement code that triggers an automated payment based on your roster's performance data.
Provider Fee$0.00
Effective: March 1, 2005
Category
AQ. Appendix Q
Subcategory
APPENDIX Q
Service Type
Other
Code Classes
Other Premiums (including After Hours Procedure Premiums)
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