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F047
F047 – Tuberosity fracture - no reduction
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
The F047 fee is for the management of a fracture of the shoulder tuberosity that does not require reduction. This is a non-operative treatment and is listed under the 'Reduction - Fractures - Tuberosity' subsection for the shoulder.
When to Use
- Use F047 for a non-displaced or minimally displaced tuberosity fracture of the shoulder that is managed conservatively with immobilization (e.g., sling) rather than surgical reduction.
- Use this code when the clinical management involves initial assessment, diagnosis, and the application of a support device, provided no manipulation or reduction maneuver is performed.
Common Pitfalls
- Do not bill F047 if any form of reduction (closed or open) was performed; use F048 or F049 for those scenarios instead.
- Avoid billing F047 in conjunction with a standard office visit fee (A007) on the same day, as the procedural fee is intended to include the associated assessment for that specific fracture management.
Billing Tips
- Ensure your documentation explicitly states 'no reduction required' to justify the use of F047 over higher-valued reduction codes.
- If the patient requires an after-hours assessment for the initial management, ensure you append the appropriate E-code premium (E409 or E410) to the F047 claim to maximize the procedural reimbursement.
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