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F061
F061 – Metatarsus fracture - one or more
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use F061 for non-displaced metatarsal fractures that are managed conservatively with a simple walking boot or stiff-soled shoe without requiring formal casting.
- Use this code for stable fractures where the patient is instructed on weight-bearing as tolerated and no manipulation or rigid immobilization is performed.
Common Pitfalls
- Billing F061 when a cast is applied; if rigid immobilization is provided, you must use F062 instead.
- Attempting to bill F061 in conjunction with F063; F063 is reserved for closed reduction, which is mutually exclusive with the non-reduction criteria of F061.
- Failing to recognize that F061 is a surgical procedure code; ensure your documentation clearly describes the management plan to justify the surgical fee versus a standard office visit code.
Billing Tips
- If the patient requires an after-hours assessment for the fracture, ensure you apply the appropriate E409 or E410 premium to the F061 fee, provided the criteria for non-elective status are met.
- Always verify if the fracture management meets the definition of 'rigid immobilization' (F062) before defaulting to F061, as the fee difference reflects the intensity of the intervention.
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