What is OHIP billing code F067?

F067 is "Closed reduction of tarsus fracture", an OHIP Anaesthesia code from the Ontario Schedule of Benefits (Physician Services).

How much does F067 pay?

The current OHIP fee for F067 is $165.20, effective 2025-04-01, per the Ontario Schedule of Benefits.

How do I bill F067 to OHIP?

F067 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates F067 claims against the Schedule of Benefits rules before submission.

What codes are related to F067?

Codes related to F067 in the Schedule of Benefits include F066, F068, E584.

All codes

F067

F067 – Closed reduction of tarsus fracture

OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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A surgical procedure for the closed reduction of a fracture of the tarsus, excluding the os calcis. This procedure involves manipulating the bone fragments back into their normal alignment without making a surgical incision. It can be performed with an assistant and under anaesthesia. An additional fee is applicable for the application of a plaster cast if performed outside of a hospital.

When to Use

Use F067 for the closed reduction of a tarsal bone fracture, specifically excluding the os calcis (calcaneus).
Select F067 when the procedure is performed via closed manipulation without surgical incision, distinguishing it from open reduction procedures.

Common Pitfalls

Billing F067 for a calcaneal fracture is incorrect; ensure the fracture site is explicitly documented as a tarsal bone other than the os calcis.
Failing to document the specific tarsal bone involved can lead to audit scrutiny regarding the appropriateness of the code selection versus other musculoskeletal surgical codes.
Attempting to bill E584 for a cast applied within a hospital setting will result in a rejection, as E584 is strictly for office-based procedures.

Billing Tips

If the procedure is performed in an office setting, remember to add E584 for the plaster cast application to capture the additional fee.
Ensure that if the procedure meets the criteria for trauma (ISS > 15 for age 16+, or ISS > 12 for under 16), the E420 trauma premium is applied, noting that it cannot be combined with after-hours premiums.

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Provider Fee$165.20

Surgical Assistant Fee$75.06

Anaesthetist Fee$92.94

Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

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