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F053
F053 – Fracture of neck of humerus without dislocation of head - no reduction
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the non-operative management of a fracture of the neck of the humerus where there is no associated dislocation of the humeral head and no reduction procedure is performed. This fee includes the assessment and non-operative management of the fracture. This service is listed under 'Reduction' but represents cases where no reduction is performed.
When to Use
- Use F053 for a stable, non-displaced humeral neck fracture where the treatment plan is limited to immobilization in a sling or shoulder immobilizer without manipulation.
- Select this code when the patient presents to the emergency department or clinic with a confirmed fracture that requires no reduction, distinguishing it from F054 which involves reduction.
Common Pitfalls
- Billing F053 in conjunction with a consultation or assessment code (e.g., A007) is a common error, as the fee for F053 is intended to include the initial assessment and management.
- Mistaking F053 for a fracture requiring reduction; if any manipulation or traction was performed to align the bone, F054 is the appropriate code, not F053.
Billing Tips
- Apply the E409 or E410 after-hours procedure premiums if the fracture management occurs outside standard hours, as this is a surgical procedure code.
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