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F056 – Phalanx fracture - no reduction - rigid immobilization

OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Treatment of a fracture of a phalanx of the foot involving no reduction but requiring rigid immobilization. This is a surgical procedure with a fee payable to the surgeon (suffix A). Payment may be increased by age-based premiums for patients under 16 years old as per . Additional premiums for after-hours service (E409, E410) and major trauma (E420) may apply if conditions are met. Add-on codes E584 for casting outside a hospital and E560 for each additional phalanx are also listed.
When claiming the trauma premium E420, the medical record must list the Injury Severity Score (ISS).

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