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F080
F080 – Open reduction of tibial shaft fracture
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Open reduction - shaft
When to Use
- Use F080 when performing an open reduction of a tibial shaft fracture that does not involve the use of an intramedullary nail.
- Select F080 for open surgical interventions where internal fixation is required but the specific criteria for E041 are not met.
Common Pitfalls
- Billing F080 in conjunction with E041 is a common error, as E041 is intended for intramedullary nailing and may be considered a more specific procedure code.
- Failing to account for the multiple procedure rule when performing additional orthopedic interventions during the same anesthetic session will lead to automatic payment adjustments.
Billing Tips
- Ensure the operative report clearly distinguishes between an open reduction procedure and any associated hardware fixation to justify the use of F080 over closed reduction codes.
Provider Fee$789.00
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76
Effective: April 1, 2026
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
All insured services must be documented in appropriate records. The Act requires that the record establish that: 1. an insured service was provided; 2. the service for which the account is submitted is the service that was rendered; and 3. the service was medically necessary.
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