F060 – Open reduction - phalanx
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service involves the surgical open reduction of a fractured phalanx (toe bone) in the foot. This is performed when the fracture is displaced, unstable, or cannot be adequately aligned with closed methods. The procedure involves an incision to directly visualize and realign the bone fragments, which may then be stabilized with internal fixation such as pins, screws, or plates. This code applies to the surgeon's work and has corresponding billings for surgical assistance and anaesthesia. See related codes for closed reduction (F058) or non-reductive management (F056).
When to Use
- Use F060 when a phalanx fracture is displaced or unstable, necessitating an incision for direct visualization and internal fixation (e.g., K-wires, screws).
- Select F060 over F058 when closed reduction attempts fail to achieve acceptable alignment and surgical intervention is required.
Common Pitfalls
- Billing F060 for simple closed reductions, which must be billed under F058.
- Failing to document the necessity of open reduction (e.g., failure of closed reduction or severe displacement), which is required to justify the higher fee compared to F058.
- Incorrectly billing F060 for non-reductive management, which is strictly reserved for F056.
Billing Tips
- Ensure the operative report explicitly details the fixation method used, as this supports the 'open' nature of the procedure required for F060.
- If performing multiple phalanx reductions, check the Schedule of Benefits for rules regarding multiple procedure billing, as secondary procedures often attract a reduced fee.
Effective: April 1, 2026
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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