F017 – Open 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.
Effective: April 1, 2026
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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