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F028
F028 – Radius - distal - closed reduction, under local anaesthetic
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service covers the closed reduction of a distal radius fracture performed under local anaesthetic. As a surgical procedure, it includes pre-operative evaluation, the operation itself, and standard post-operative care as defined in the surgical preamble (-).
When to Use
- Use F028 when performing a closed reduction of a distal radius fracture specifically under local anaesthetic, as opposed to F027 which applies to closed reductions requiring general or regional anaesthesia.
- Apply this code for emergency department or office-based reductions where the procedure is completed without the need for sedation or a formal operating room block.
Common Pitfalls
- Billing F028 in conjunction with a minor assessment code (e.g., A007) on the same day is a common audit trigger, as the surgical fee includes standard pre-operative evaluation.
- Attempting to bill F028 alongside F046 (application of a cast) is generally considered unbundling, as the cast application is an integral component of the reduction procedure.
Billing Tips
- If the procedure is performed after hours in a non-emergency department setting, ensure you append E409 or E410 to capture the appropriate percentage premium on the $109.45 base fee.
- Ensure the clinical notes explicitly state 'local anaesthetic' to justify the use of F028 over higher-valued codes like F027 that require more intensive anaesthetic support.
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