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F017

F017Open reduction, one or more

OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

markdown Open reduction of one or more fractures of the carpus (wrist bones). This is a surgical procedure, and the listed fee is for the surgeon's service when billed with suffix 'A'. This service is eligible for both surgical assistant and anaesthetist services. - **Assistant Fee (F017B):** The fee for a surgical assistant is calculated using 6 base units plus applicable time units, as detailed in the General Preamble (-). - **Anaesthesia Fee (F017C):** The fee for an anaesthetist is calculated using 7 basic units plus applicable time units, as detailed in the General Preamble (-).

When to Use

  • Use F017 for the open reduction of carpal bone fractures, such as a scaphoid or triquetral fracture, where internal fixation is required.
  • Select F017 when the procedure involves an open approach to the carpus, distinguishing it from closed reduction procedures like F016.
  • Use F017 for multi-carpal bone fractures if performed through the same surgical site, as the code covers 'one or more' fractures.

Common Pitfalls

  • Billing F017 for closed reductions or percutaneous pinning without an open incision, which should be coded under alternative musculoskeletal codes.
  • Failure to document the Injury Severity Score (ISS) when attempting to claim the E420 trauma premium, which will lead to automatic rejection.
  • Attempting to bill F017 in addition to other carpal procedures performed in the same operative field, which may trigger 'multiple procedure' payment rules or audit flags.

Billing Tips

  • Ensure the surgical report explicitly describes the open approach to the carpus to support the use of F017 over less invasive alternatives.
  • When billing for an assistant (F017B) or anaesthetist (F017C), verify that the base units are correctly calculated alongside the appropriate time units as defined in the General Preamble.
Provider Fee$443.00
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

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