What are the billing rules for Q114A?

Bill at zero (AQ8). Appendix Q lists it for RNPGA, BSM, GHC, SJHC, SEAMO, WHA, and CCM and FHG physicians who meet the minimum roster size (AQ8). FHO and FHN aren't listed for mammography in Appendix Q (AQ8), and section 8.1 of the FHO agreement lets an FHO physician claim under only two preventive care headings, influenza vaccine and childhood immunizations (Agreement p.65 §8.1). The 2020 OMA guide still lists FHN and FHO; it is older than both, so Appendix Q and the agreement take precedence (OMA Q-codes guide p.16).

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Billing code

Q114A — Preventive care bonus, mammography 75%

Q: What is OHIP billing code Q114A?

Top mammography preventive care bonus tier, billed at zero once 75% of enrolled women aged 50 to 74 have had a mammogram in the past 30 months.

Mammography bonus, 75% tier

Bill Q114A at zero when 75% 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 at least 650 enrolled patients.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$0.00	$0.00	$0.00	$0.00	$0.00

Code: Q114A
Description: Preventive care bonus, mammography 75%
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

Top mammography preventive care bonus tier, billed at zero once 75% of enrolled women aged 50 to 74 have had a mammogram in the past 30 months.

What it covers

Q114A is the highest of the five mammography tiers of the cumulative preventive care bonus (Q110A 55% up to Q114A 75%) (AQ7-AQ8). The bonus is paid to eligible enrolment-model physicians for maintaining specified levels of preventive care for their enrolled patients (OMA Q-codes guide p.15).

The target population is enrolled female patients aged 50 to 74 inclusive on March 31 of the fiscal year being claimed. The compliance rate is the share of them who had a mammogram in the 30 months before that March 31 (OMA Q-codes guide p.16).

Appendix Q is information only and not part of the Schedule; it refers to the Ministry's Primary Health Care fact sheets for complete billing information (AQ1).

Billing rules

Bill at zero (AQ8).
Appendix Q lists it for RNPGA, BSM, GHC, SJHC, SEAMO, WHA, and CCM and FHG physicians who meet the minimum roster size (AQ8).
FHO and FHN aren't listed for mammography in Appendix Q (AQ8), and section 8.1 of the FHO agreement lets an FHO physician claim under only two preventive care headings, influenza vaccine and childhood immunizations (Agreement p.65 §8.1). The 2020 OMA guide still lists FHN and FHO; it is older than both, so Appendix Q and the agreement take precedence (OMA Q-codes guide p.16).
FHG and CCM physicians need at least 650 enrolled patients on March 31 of the bonus year, or 450 for new graduates in their first year in the model (OMA Q-codes guide p.15).
Mammograms are recorded with the zero-fee tracking code Q131A; women who have had a mastectomy or are being treated for clinical breast disease are excluded with Q141A (OMA Q-codes guide p.7, p.18).

Related codes: Q110, Q111, Q112, Q113, Q131, Q141

Source: Schedule of Benefits (July 1, 2026), Appendix Q (information only), Preventive Care Fees and Bonuses, pages AQ7-AQ8 and AQ1; FHO Agreement 2026-04 p.65 §8.1; OMA Primary Care Q-Codes Quick Reference Guide (November 2020), pages 6-7 and 15-18

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