F082 – Fibula fracture - no reduction, rigid immobilization
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the treatment of a fibula fracture that does not require manual or surgical realignment of the bone fragments (no reduction) and is managed through the application of rigid immobilization, such as a cast or a splint. As an insured surgical procedure, this fee includes the common and specific elements of service as defined in the Schedule of Benefits. This includes pre-procedure preparation of the patient, performing the immobilization procedure, and any immediate post-procedure care. It also includes all , common elements such as obtaining consent, maintaining medical records, and arranging follow-up.
When to Use
- Use F082 for isolated, non-displaced fibular fractures where the bone alignment is acceptable and only requires a cast or splint for stabilization.
- Use this code when the fracture management is limited to rigid immobilization without the need for manual manipulation or traction to correct the position of the fragments.
Common Pitfalls
- Billing F082 when a reduction (manipulation) was actually performed; if reduction is required, you must use F083 instead.
- Attempting to bill an office visit code (e.g., A007) on the same day as F082; the surgical fee includes the assessment and the procedure, making the visit non-billable unless it is for an unrelated condition.
- Failing to differentiate between fibular fractures and ankle fractures; if the injury involves the ankle joint or requires syndesmotic stabilization, F082 is likely inappropriate.
Billing Tips
- Ensure your documentation explicitly states 'no reduction required' or 'no manipulation performed' to justify the use of F082 over the higher-valued F083.
- If the patient is under 16, remember to apply the appropriate age-based premium as F082 is a surgical procedure listed in the relevant sections of the Schedule.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
All insured services must be documented in the medical record to establish that the service was provided, medically necessary, and is the service for which the account is submitted.
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