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F010
F010 – Open reduction - intra-articular
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use F010 for open reduction of an intra-articular fracture of the wrist or hand where internal fixation is required to restore joint surface congruity.
- Use this code for complex intra-articular fractures that cannot be adequately reduced via closed manipulation (F007) or percutaneous pinning (F008).
Common Pitfalls
- Billing F010 in conjunction with closed reduction codes (F007) for the same fracture site will result in a rejection for duplicate service.
- Failing to document the specific intra-articular nature of the fracture in the operative report often leads to audit downgrades to simpler fracture codes.
- Claiming the Trauma Premium (E420) without explicitly recording the calculated Injury Severity Score (ISS) in the patient chart is a frequent cause of recovery during post-payment audits.
Billing Tips
- When performing multiple procedures during the same session, ensure the assistant and anaesthetist only claim basic units for the major procedure (F010) to avoid billing errors.
- Always verify if the patient qualifies for age-based premiums, as these are calculated as a percentage increase on the base fee of $419.00.
Provider Fee$419.00
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
Effective: April 1, 2026
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
An operative report is required.
For services involving time units, the start and end times must be recorded in the patient's medical record.
If claiming the Trauma Premium (E420), the Injury Severity Score (ISS) must be listed in the medical record.
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