Billing code
Q113A — Preventive care bonus, mammography 70%
Mammography bonus, 70% tier
Bill Q113A at zero when 70% of your enrolled women aged 50 to 74 have had a mammogram in the past 30 months.
Watch for: Appendix Q doesn't list FHO or FHN physicians for this bonus, and FHG and CCM physicians need the minimum roster size.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $0.00 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- Q113A
- Description
- Preventive care bonus, mammography 70%
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Mar 1, 2005
- Termination date
- No end date
Explanation
Updated October 26, 2026
Zero-fee claim for the mammography preventive care bonus at 70% coverage. Appendix Q doesn't list FHO or FHN physicians for it.
What it covers
Q113A is the fourth of five tiers of the mammography cumulative preventive care bonus, claimed when 70% of the target population has had a mammogram (AQ8). The other tiers are Q110A (55%), Q111A (60%), Q112A (65%) and Q114A (75%) (AQ7–AQ8).
The target population is enrolled female patients aged 50 to 74 inclusive on March 31 of the fiscal year, and the measure is a mammogram in the 30 months before that March 31 (OMA Q-codes guide p.16). Appendix Q is information only, not part of the Schedule (AQ1).
Billing rules
- Bill at zero (AQ8).
- An individual physician can earn one annual bonus per preventive care category; claim the tier code for the coverage reached (OMA Q-codes guide p.15).
- Eligible: RNPGA, BSM, GHC, SJHC, SEAMO and WHA physicians, and CCM and FHG physicians who meet the minimum roster size of 650 enrolled patients on March 31 of the bonus year, or 450 for new graduates in their first year in the model (AQ8; OMA Q-codes guide p.15).
- FHO and FHN: the 2020 OMA guide listed them for this bonus, but Appendix Q no longer does, and the April 2026 FHO agreement gives FHO physicians only the influenza and childhood immunization bonuses (AQ8; OMA Q-codes guide p.16; Agreement p.65 §8.1).
- The Q131A tracking code marks a patient as having had a mammogram. The Q141A exclusion code removes patients who had a mastectomy or are being treated for clinical breast disease (OMA Q-codes guide p.7, p.18).
Related codes: Q112, Q114, Q110, Q111, Q131, Q141
Source: Schedule of Benefits (July 1, 2026), Appendix Q (information only), Preventive Care Fees and Bonuses, pages AQ7–AQ8; OMA Q-codes guide p.15–18
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