All codes
F076
F076 – Ankle fracture - open reduction - one malleolus
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Open reduction of an ankle fracture involving one malleolus. This is a surgical procedure to repair a break in one of the bony bumps on either side of the ankle. It falls under the category of reduction for fractures of the foot and ankle.
When to Use
- Use F076 for the open reduction and internal fixation (ORIF) of a single isolated malleolar fracture (e.g., lateral malleolus or medial malleolus).
- Use this code when the surgical approach requires an incision to achieve anatomical reduction of the bony fragment, distinguishing it from closed reduction procedures.
Common Pitfalls
- Billing F076 alongside F108 is prohibited; ensure you are not unbundling components of a complex ankle reconstruction that should be billed under a more comprehensive code.
- Attempting to bill F076 for a bimalleolar fracture is a common error; bimalleolar or trimalleolar fractures require different codes (e.g., F077) to reflect the increased complexity and work.
- Failure to document the specific malleolus treated can lead to audit scrutiny regarding the necessity of the open approach versus closed management.
Billing Tips
- If the patient meets the trauma criteria (ISS > 15 for adults or > 12 for those under 16), ensure E420 is submitted on the same claim to receive the 50% premium.
- Remember that the hospital admission assessment is included in the surgical fee; only claim a consultation or assessment if it serves as the formal 'major pre-operative visit' where the decision to operate is finalized.
Provider Fee$466.70
Surgical Assistant Fee$77.46
Anaesthetist Fee$111.72
Non-Anaesthetist Fee$111.72
Effective: April 1, 2026
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.