F014 – Radius and ulna - Monteggia - no reduction, rigid immobilization
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Counselling of relatives on behalf of a catastrophically or terminally ill patient is counselling rendered to a relative or relatives or representative of a catastrophically or terminally ill patient, for the purpose of developing an awareness of modalities for treatment of the patient and/or his or her prognosis. This service is calculated in time units, with a minimum of 20 minutes required for the first unit. In calculating the time unit(s), the minimum time required in direct contact with the patient's relative or representative and the physician in person is based on the table on page .
When to Use
- Use F014 when managing a Monteggia fracture (proximal ulnar fracture with radial head dislocation) that is stable enough to be treated with rigid immobilization alone without requiring closed or open reduction.
- Select F014 when the clinical priority is maintaining alignment through casting or splinting rather than surgical intervention or manipulation.
Common Pitfalls
- Billing F014 in conjunction with F033 or F036 is a common audit trigger, as these codes represent different levels of fracture management and cannot be claimed for the same injury.
- Failing to document the specific nature of the immobilization (e.g., long arm cast) often leads to rejection if the claim is audited against the 'no reduction' requirement.
Billing Tips
- Ensure the diagnostic code reflects the specific fracture site, as F014 is strictly reserved for Monteggia-type injuries and will be rejected if the diagnosis code does not match the anatomical site.
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