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Q122A
Q122A – Cumulative Preventive Care Management Service Enhancement Code (Preventive Care Bonus) Colorectal Cancer Screening - 60%
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
The Cumulative Preventive Care Management Service Enhancement Code provides a bonus for achieving a 60% colorectal cancer screening rate. The associated payment is $3,300. This code is eligible for physicians in RNPGA, BSM, GHC, SJHC, SEAMO, WHA, CCM, and FHG models who meet the minimum roster size. The service should be billed at $0.00.
When to Use
- Use Q122A once per fiscal year when your rostered patient population achieves the 60% colorectal cancer screening threshold as defined in the Appendix Q guidelines.
- Submit this code only after confirming your screening rates via the Ministry's Preventive Care Bonus report, which validates your eligibility for the $3,300 payment.
Common Pitfalls
- Billing Q122A prematurely before the Ministry has verified your specific roster's screening percentage, leading to automatic rejection or recovery.
- Failing to account for the specific roster requirements of your model (e.g., FHG or RNPGA), as eligibility for Q122A is contingent on maintaining the minimum roster size throughout the reporting period.
Billing Tips
- Ensure you are not billing Q122A in isolation; it is part of a suite of codes (Q118A-Q121A) that must be managed to maximize your total preventive care incentive earnings.
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