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F075
F075 – Ankle fracture - closed reduction
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
F075 is a surgical procedure for the closed reduction of an ankle fracture, as listed in the Musculoskeletal System section of the Schedule of Benefits under Foot and Ankle. This service has surgical, assistant, and anaesthesia components.
When to Use
- Use F075 for the manual manipulation and realignment of a closed ankle fracture performed under sedation or local anesthesia without an open incision.
- Use this code when the reduction is successful and the patient is placed in a cast or splint, distinguishing it from F074 which typically refers to more complex or open procedures.
Common Pitfalls
- Billing F075 alongside an office visit code (e.g., A007) on the same day is a common rejection; the surgical fee is intended to be all-inclusive of the procedure and immediate post-operative assessment.
- Failing to document the specific type of fracture and the reduction technique can lead to audit recovery, as the Ministry requires evidence that a formal closed reduction occurred rather than simple splinting.
Billing Tips
- Ensure you apply the correct age-based premium (e.g., AGE_PREMIUM_LT_16Y) if the patient is under 16, as this is often missed in pediatric fracture cases.
- If the procedure is performed after hours in a non-emergency department setting, verify your eligibility for E409 or E410 to maximize the procedural fee.
Provider Fee$144.80
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
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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