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F058
F058 – Phalanx fracture - closed reduction - one
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
F058 represents the closed reduction of a single fracture of a phalanx in the foot or ankle. This is a non-operative procedure to realign the fractured bone without making a surgical incision. It is listed under the Musculoskeletal System surgical procedures for the foot and ankle. Anaesthesia may be required. For reduction of additional phalanges during the same session, see E561. If rigid immobilization via a plaster cast is applied outside of a hospital, E584 may be claimed in addition.
When to Use
- Use F058 for the closed reduction of a single phalanx fracture in the foot or ankle where no surgical incision is required.
- Use F058 as the primary code when reducing one phalanx, and append E561 for each additional phalanx reduced during the same encounter.
Common Pitfalls
- Claiming E584 for a cast applied within a hospital setting, as this add-on is strictly restricted to office or home settings.
- Failing to document the specific phalanx reduced, which is necessary to justify the use of E561 for multiple fracture reductions.
- Attempting to bill F058 for open reductions, which require different surgical codes; F058 is exclusively for closed procedures.
Billing Tips
- Ensure the claim includes E584 on the same submission as F058 if a plaster cast is applied in your office to receive the additional $11.15 fee.
- If multiple phalanges are reduced, bill the first as F058 and use E561 for each subsequent phalanx to ensure accurate capture of the total procedural work.
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