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F070

F070No reduction os calcis or talar neck/body - rigid immobilization

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

This service covers the non-operative management of a fracture of the os calcis (heel bone). The treatment consists of applying rigid immobilization, such as a cast, without performing a reduction of the fracture. This service is a surgical procedure and includes all inherent common and specific procedural elements.

When to Use

  • Use F070 for non-displaced os calcis fractures where the treatment plan is strictly immobilization without any attempt at manual or surgical reduction.
  • Use this code when applying a cast or rigid splint to a stable calcaneal fracture that does not meet the criteria for the reduction procedures described in F071 or F072.

Common Pitfalls

  • Billing F070 alongside a fracture reduction code (F071 or F072) for the same site is a duplicate billing error and will result in a rejection.
  • Attempting to bill an office visit or consultation fee on the same day as F070 is generally disallowed as the surgical fee is intended to cover the procedural encounter.

Billing Tips

  • Ensure the clinical documentation explicitly states 'no reduction performed' to justify the use of F070 over the higher-valued reduction codes F071 or F072.
  • If the procedure is performed after hours or involves a high-trauma patient, ensure the appropriate premium (E409, E410, or E420) is appended to the claim to maximize the surgical fee.
Provider Fee$97.35

Effective: April 1, 2025

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Musculoskeletal System Surgical Procedures

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