F029 – Epicondyle - no reduction
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service fee includes the assessment, non-operative management (e.g., manipulation, application of a sling or figure-of-eight brace), and the normal uncomplicated follow-up care for a fracture of the clavicle. Surgical intervention is not included and would be billed separately. The fee is for the complete care of the fracture and associated follow-up visits.
When to Use
- Use F029 for the initial management of a clavicle fracture that does not require reduction, such as a simple mid-shaft fracture treated with a sling.
- Use this code when providing the initial assessment and application of a figure-of-eight brace for a non-displaced clavicle fracture.
Common Pitfalls
- Do not bill subsequent follow-up visits for the same fracture, as F029 is a global fee that includes normal uncomplicated follow-up care.
- Avoid billing a separate assessment code (e.g., A007) on the same day as F029, as the assessment is already bundled into the procedural fee.
Billing Tips
- If the fracture occurs after hours, ensure you append the appropriate premium (E409 or E410) to the F029 fee to maximize the claim value.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Procedure
Diagnostic and Therapeutic Procedures
All insured services must be documented in the patient's medical record to establish that the service was provided, is the service submitted for payment, and was medically necessary.
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