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Billing code

Q132A — Childhood immunizations tracking code

Childhood immunization tracking code

Bill Q132A at zero to record that an enrolled child has had all recommended childhood immunizations, for the childhood immunization bonus.

Watch for: Expect a zero payment with explanatory code 30; submit within three months of the service date to avoid a stale-date rejection.

Code

Q132A

Description

Childhood immunizations tracking code

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Mar 31, 2004

Termination date

No end date

Explanation

Updated October 26, 2026

Zero-fee tracking code showing an enrolled child has had all the recommended childhood immunizations, for the childhood immunization bonus.

What it covers

Q132A is the childhood immunization tracking code (OMA Q-codes guide p.7, p.18). Tracking codes mark a patient as having received a preventive service, which counts toward the physician's preventive care bonus percentage for that category (OMA Q-codes guide p.17).

It is not in the Schedule or Appendix Q. The source is the 2020 OMA Q-codes guide; the childhood immunization bonus itself is in Appendix Q and the April 2026 FHO agreement.

Billing rules

• Bill at zero. The remittance advice pays zero with explanatory code 30, 'this service is not a benefit of OHIP' (OMA Q-codes guide p.17).
• Submit it with your normal fee-for-service and premium billing (OMA Q-codes guide p.17).
• The bonus target population is enrolled patients aged 30 to 42 months on March 31 of the fiscal year, who must have had all Ministry-supplied immunizations recommended by NACI by 30 months of age (OMA Q-codes guide p.17; Agreement p.65 §8.1).
• Bonus tiers Q115A (85%), Q116A (90%) and Q117A (95%) of the target population are claimed at zero (AQ8-AQ9; Agreement p.65-66 §8.1).
• Eligible: FHN, FHO, RNPGA, BSM, GHC, SJHC, SEAMO, WHA, and CCM/FHG physicians who meet the minimum roster (AQ8-AQ9). For FHG/CCM that is 650 enrolled patients on March 31, or 450 for new graduates in their first year; FHO and FHN have no minimum (OMA Q-codes guide p.15).
• FHO: one claim per fiscal year under the childhood immunization heading, prorated for practices under 1,000 enrolled patients (Agreement p.65 §8.1, p.66 §8.2).

Often billed with

• A002 enhanced 18-month well-baby visit, for children aged 17 to 24 months (A4, GP34).
• G840, G841, G846 or other immunization codes for vaccines given at the visit (J54).

Common rejections

• VJ7: OHIP received the claim more than three months after the service date, so it was rejected as stale-dated (GP9).

Related codes: Q115, Q116, Q117, A002, G841, G840

Source: Not in the Schedule of Benefits; OMA Primary Care Q-Codes Quick Reference Guide (November 2020), Tracking and Exclusion Codes, pages 7 and 17-18; bonus in Appendix Q, pages AQ8-AQ9, and FHO Agreement (April 2026) p.65-66 §8.1-8.2

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