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F020
F020 – Scaphoid excision
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This surgical procedure involves the excision of the scaphoid carpal bone. It is categorized under musculoskeletal procedures for the hand and wrist.
When to Use
- Use F020 for the definitive excision of the scaphoid bone, typically in cases of advanced scaphoid non-union with collapse (SNAC wrist).
- Select F020 when performing a proximal row carpectomy or salvage procedure where the scaphoid is specifically removed as the primary therapeutic step.
Common Pitfalls
- Billing F020 in conjunction with F018 or F019 for the same wrist is a common audit trigger; ensure the procedures are distinct and not considered inclusive components of a larger reconstruction.
- Failing to document the specific indication for excision, such as post-traumatic necrosis or advanced arthritis, often leads to claim rejection during manual review.
Billing Tips
- If the procedure is performed as part of a complex wrist reconstruction, ensure you are not unbundling components that are already included in the primary surgical fee for the reconstruction.
Provider Fee$193.00
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
All insured services must be documented in appropriate records that establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
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