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F031
F031 – Radius or ulna - no reduction, rigid immobilization
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Radius or ulna - no reduction, rigid immobilization. This is a surgical procedure for fractures of the radius or ulna, without reduction, requiring rigid immobilization. It is listed under the Musculoskeletal System Surgical Procedures section (N) of the Schedule.
When to Use
- Use F031 for stable, non-displaced fractures of the radius or ulna where the fracture alignment is acceptable and only requires rigid immobilization (e.g., cast or splint).
- Select this code when managing a distal radius buckle fracture in a pediatric patient that does not require manipulation or reduction.
Common Pitfalls
- Billing F031 when a reduction was actually performed; if any manipulation was required to align the bone, you must use the appropriate reduction code (e.g., F032 or F033) instead.
- Attempting to bill an office visit (A007) on the same day as F031; the surgical fee for F031 is comprehensive and includes the assessment and the application of the cast.
Billing Tips
- Ensure the clinical note explicitly states 'no reduction required' to justify the use of F031 over higher-valued reduction codes during a potential audit.
- If the patient is under 16 years of age, remember to apply the appropriate age-based premium to the $81.30 fee to maximize your claim.
Provider Fee$81.30
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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