What is OHIP billing code F084?

F084 is "Fibula - open reduction", an OHIP Anaesthesia code from the Ontario Schedule of Benefits (Physician Services).

How much does F084 pay?

The current OHIP fee for F084 is $653.05, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill F084 to OHIP?

F084 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates F084 claims against the Schedule of Benefits rules before submission.

What codes are related to F084?

Codes related to F084 in the Schedule of Benefits include F082, F083.

All codes

F084

F084 – Fibula - open reduction

OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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F084 is an open reduction for a fracture of the fibula. This is a surgical procedure where an incision is made to directly visualize and realign the fractured bone fragments. It may involve the use of internal fixation devices like plates, screws, or rods to hold the bone in place while it heals. This service is listed in the Musculoskeletal System Surgical Procedures section of the Schedule of Benefits. Payment includes fees for the surgeon (suffix A), assistant (suffix B), and anaesthetist (suffix C), with specific unit calculations for assistant and anaesthetist services as described in , , and .

When to Use

Use F084 for open reduction of a fibular fracture requiring direct visualization and internal fixation, distinguishing it from closed reduction procedures like F082.
Select F084 when the surgical approach involves an incision to realign bone fragments, as opposed to percutaneous pinning or external fixation methods.

Common Pitfalls

Billing F084 alongside an admission assessment is a common audit trigger; ensure the assessment is only claimed if it is the specific pre-operative visit where the decision to operate was finalized.
Failing to document the Injury Severity Score (ISS) in the medical record will lead to the rejection of the E420 trauma premium even if the patient meets the clinical criteria.

Billing Tips

When performing multiple procedures during the same anaesthetic, ensure the assistant and anaesthetist units are calculated based on the major procedure as per GP85 and GP93 guidelines.
Always verify that the start time of the procedure is accurately recorded, as this is the sole determinant for applying after-hours premiums like E409 or E410.

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Provider Fee$653.05

Surgical Assistant Fee$77.46

Anaesthetist Fee$111.72

Non-Anaesthetist Fee$111.72

Effective: April 1, 2026

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