What is OHIP billing code F034?

F034 is "Olecranon - no reduction, rigid immobilization", an OHIP Anaesthesia code from the Ontario Schedule of Benefits (Physician Services).

How much does F034 pay?

The current OHIP fee for F034 is $126.25, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill F034 to OHIP?

F034 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates F034 claims against the Schedule of Benefits rules before submission.

All codes

F034

F034 – Olecranon - no reduction, rigid immobilization

OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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This fee code represents a surgical procedure within the 'Fractures and Dislocations' section of the OHIP Schedule of Benefits. The fee is payable to the primary surgeon (suffix 'A'). The service includes the pre-operative, intra-operative, and post-operative care typically provided by the surgeon. Anaesthesia services are billed separately by the anaesthesiologist using suffix 'C'. Assistant services (suffix 'B') are not payable for this procedure. Age-based premiums, after-hours premiums, and the trauma premium may be applicable as described in the General Preamble.

When to Use

Use F034 for non-displaced olecranon fractures where the treatment plan is strictly limited to rigid immobilization (e.g., casting or splinting) without any manual or surgical reduction.
Use this code when the clinical documentation confirms the fracture is stable and does not require manipulation, distinguishing it from F035 which involves reduction.

Common Pitfalls

Billing F034 in conjunction with a surgical assistant (suffix B) will result in an automatic rejection, as assistant services are explicitly ineligible for this procedure.
Attempting to bill F034 when a reduction (manipulation) was performed is a common audit risk; if any reduction occurred, you must use F035 instead.
Failing to document the specific nature of the immobilization (e.g., cast type) can lead to claim reversals if the Ministry audits the necessity of the procedure code.

Billing Tips

Ensure the fracture diagnosis code (ICD-9) aligns with an olecranon fracture to prevent automated claim rejection.
If the procedure is performed after hours, remember to append the appropriate E409 or E410 premium to the F034 fee to ensure correct compensation for non-elective work.

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Provider Fee$126.25

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

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