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Q119A

Q119ACumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Colorectal Cancer Screening - 20%

OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits

This is a Cumulative Preventive Care Management Service Enhancement Code, also known as a Preventive Care Bonus, for Colorectal Cancer Screening. It is billed at $0.00 to track the achievement of a 20% screening rate, which corresponds to a bonus payment of $440. This code is only applicable to physicians in specific models who meet the minimum roster size criteria.

When to Use

  • Use Q119A when your rostered patient population achieves the 20% screening threshold for colorectal cancer as defined in the Appendix Q guidelines.
  • Submit this code once the Ministry's automated tracking confirms your roster has met the specific percentage requirement for the colorectal screening target.

Common Pitfalls

  • Billing Q119A prematurely before the rostered patient population has officially met the 20% threshold, which will result in a rejected or ignored claim.
  • Confusing Q119A with Q118A, Q120A, Q121A, or Q122A, which track different screening percentages and carry different bonus values.

Billing Tips

  • Monitor your preventive care bonus reports provided by the Ministry to confirm eligibility before submitting the claim to ensure the $440 bonus is triggered correctly.
Provider Fee$0.00

Effective: March 31, 2006

Category

AQ. Appendix Q

Subcategory

APPENDIX Q

Service Type

ManagementFee

Code Classes

Other Premiums (including After Hours Procedure Premiums)

Bill at $0.00

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