F045 – Transcondylar/condylar - closed reduction with traction
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
F045 is a surgical procedure for transcondylar/condylar closed reduction with traction. The fee payable to the surgeon (suffix A) includes the procedure and associated pre-operative and post-operative care. The amount payable for a surgical assistant (suffix B) or anaesthesiologist (suffix C) is calculated by adding basic units (specific to the procedure) and time units, then multiplying by the respective unit fee. For detailed rules on calculating assistant and anaesthesia fees, including time units, refer to the 'Surgical Assistants' Services' section () and 'Anaesthesiologists' Services' section () of the Schedule.
When to Use
- Use F045 for the closed reduction of a transcondylar or condylar fracture where traction is the primary method of stabilization.
- Select F045 when the procedure is performed in a hospital setting and involves the manual manipulation of the fracture fragments followed by the application of traction.
Common Pitfalls
- Billing F045 in conjunction with a separate hospital admission assessment; the surgical fee includes the major pre-operative visit and routine post-operative care.
- Failing to document the specific use of traction, which is a requirement for this code; simple closed reduction without traction may fall under other musculoskeletal codes.
- Incorrectly applying the Trauma Premium (E420) without documenting the required Injury Severity Score (ISS) in the patient record.
Billing Tips
- Ensure the procedure start time is accurately recorded to support the application of after-hours premiums like E409 or E410 if the surgery commences outside of standard daytime hours.
- If the patient is under 16 years of age, verify the age-based premium is applied to the procedural fee, as this is a significant component of the total reimbursement.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Integumentary System Surgical Procedures, Surgical Assistants' Services, Anaesthesiologists' Services
All insured services must be documented in appropriate records to establish that an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
For services rendered by a Medical Trainee under supervision, the medical record must identify the Supervising Physician, the Medical Trainee and level of training, the service performed, and patient consent. The Supervising Physician must sign off on the service or the Medical Trainee must document the discussion with the Supervising Physician.
In the surgical part of the Schedule, the required suffixes are: 'A' if the physician performs the procedure; 'B' if the physician assisted at the surgery; and 'C' if the physician administered the anaesthetic.
A service rendered by a Medical Trainee is only eligible for payment to the Supervising Physician subject to specific requirements for supervision, presence, and documentation as outlined in the Schedule.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.