What is OHIP billing code F077?

F077 is "Open reduction - multiple malleoli or ligaments", an OHIP Anaesthesia code from the Ontario Schedule of Benefits (Physician Services).

How much does F077 pay?

The current OHIP fee for F077 is $746.10, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill F077 to OHIP?

F077 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates F077 claims against the Schedule of Benefits rules before submission.

All codes

F077

F077 – Open reduction - multiple malleoli or ligaments

OHIP Anaesthesia Code — REDUCTION · Schedule of Benefits

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Performs the open reduction of an ankle fracture involving multiple malleoli or associated ligaments. As a surgical procedure, this fee includes standard pre-operative and post-operative care. Payment for surgical assistant (F077B) and anaesthetist (F077C) services are calculated separately based on basic and time units as outlined in the General Preamble (-). This service is eligible for various premiums including those for age (), after-hours services (), and trauma ().

When to Use

Use F077 for open reduction and internal fixation (ORIF) of bimalleolar or trimalleolar ankle fractures where multiple malleoli are addressed.
Use F077 for ankle fractures involving significant ligamentous disruption requiring open surgical repair, provided it meets the criteria for multiple structures.
Use F077 when the surgical approach involves the open reduction of complex ankle injuries that exceed the scope of a simple single-malleolar fixation.

Common Pitfalls

Billing F077 alongside F108 is prohibited as they are mutually exclusive; ensure the correct code is selected based on the specific anatomical involvement.
Failure to document the specific Injury Severity Score (ISS) in the medical record will result in the rejection of the E420 trauma premium.
Incorrectly billing F077 for closed reductions; this code is strictly for open procedures, and closed reductions must be billed under the appropriate reduction codes.

Billing Tips

Always verify if the procedure qualifies for after-hours premiums (E409 or E410) based on the exact start time of the surgery to maximize the procedural fee.
When billing for a surgical assistant, ensure F077B is submitted on the same claim as F077 to ensure proper unit calculation and payment processing.

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Provider Fee$746.10

Surgical Assistant Fee$77.46

Anaesthetist Fee$111.72

Non-Anaesthetist Fee$111.72

Effective: April 1, 2026

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