What is OHIP billing code F087?

F087 is "Patella - open reduction or excision with or without repair", an OHIP Anaesthesia code from the Ontario Schedule of Benefits (Physician Services).

How much does F087 pay?

The current OHIP fee for F087 is $504.45, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill F087 to OHIP?

F087 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates F087 claims against the Schedule of Benefits rules before submission.

What codes are related to F087?

Codes related to F087 in the Schedule of Benefits include F085, F021, R589, R587.

All codes

F087

F087 – Patella - open reduction or excision with or without repair

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

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Surgical treatment for a fracture of the patella (kneecap) involving open reduction (realigning the bone fragments) or excision (removing fragments), potentially including repair of associated structures like the patellar or quadriceps tendon.

When to Use

Use F087 for open reduction and internal fixation (ORIF) of a patellar fracture where hardware is utilized to stabilize the fragments.
Use F087 for partial patellectomy or excision of small, non-reconstructible comminuted patellar fragments.
Use F087 when performing a patellar repair that necessitates an open approach, as opposed to closed reduction techniques.

Common Pitfalls

Do not bill F087 in conjunction with F085 (patellar tendon repair) if the repair is incidental to the fracture management, as the fee for F087 is intended to cover the primary procedure and associated repairs.
Failure to document the Injury Severity Score (ISS) in the chart will result in the automatic rejection of the E420 trauma premium, even if the clinical scenario clearly qualifies as trauma.
Avoid billing F087 for simple closed reductions; ensure the operative report explicitly details the open surgical approach to justify the fee.

Billing Tips

If the procedure is performed after hours, ensure you select either E409 or E410, but note that these cannot be stacked with the E420 trauma premium.
When performing bilateral patellar procedures, ensure the second procedure is billed with the appropriate bilateral modifier to receive the correct payment adjustment.

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Provider Fee$504.45

Surgical Assistant Fee$77.46

Anaesthetist Fee$111.72

Non-Anaesthetist Fee$111.72

Effective: April 1, 2026

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