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Q150A
Q150A – Colorectal Cancer Screening Fee
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
A fee for colorectal cancer screening, payable once per patient every two years. If a patient has a negative colonoscopy (i.e., revealing either no polyps or only hyperplastic polyps in the sigmoid or rectum), the service is then only payable after a period of 10 years, unless earlier screening is clinically indicated based on the findings, advice, and/or recommendations of the specialist who performed the colonoscopy. For minimum requirements to claim Q150A, refer to INFOBulletin 4723.
When to Use
- Use Q150A when providing a formal colorectal cancer screening discussion and ordering an FIT kit for an average-risk patient aged 50-74.
- Use this code when documenting the patient's screening history and providing education on the screening process during a routine office visit.
Common Pitfalls
- Billing Q150A more frequently than once every two years, which will trigger an automatic rejection.
- Attempting to bill Q150A for a patient who has had a colonoscopy within the last 10 years, unless the colonoscopy report specifically indicates a need for earlier screening.
- Failing to meet the specific documentation requirements outlined in INFOBulletin 4723, which can lead to clawbacks during an audit.
Billing Tips
- Q150A can be billed in addition to an office visit code like A007A, provided the screening discussion is a distinct component of the encounter.
- Ensure the patient's screening history is updated in your EMR to avoid accidental over-billing before the two-year eligibility window resets.
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