F094 – Closed reduction with application of skin traction or Pavlik harness - infant
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the closed reduction with application of skin traction or Pavlik harness for an infant. This is a non-operative treatment method. The specific definition of 'infant' can be found in the General Preamble on page ().
When to Use
- Use F094 for the initial application of a Pavlik harness in an infant diagnosed with developmental dysplasia of the hip (DDH).
- Use F094 when performing a closed reduction of a hip dislocation in an infant, followed by the application of skin traction as the primary stabilization method.
Common Pitfalls
- Do not bill F094 for routine follow-up adjustments or simple harness checks; these are considered part of the global surgical care or office visit.
- Avoid billing F094 in conjunction with other surgical procedures on the same hip unless the reduction and traction are distinct from the primary procedure, as this may trigger a multiple procedure rule reduction.
Billing Tips
- Ensure you apply the correct age-based premium (e.g., 25% for infants 30 days to <1 year) to maximize the claim value, as this is a surgical procedure code.
- If the procedure is performed in an emergency or after-hours setting, ensure the start time is clearly documented to support the application of E409 or E410 premiums.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
Standard medical records must be kept as per .
For assistant and anaesthesia services, start and stop times must be documented to claim time units.
If claiming the trauma premium E420, the Injury Severity Score (ISS) must be listed in the medical record.
For an infant (29 days up to, and less than, 2 years of age)
Closed reduction with application of skin traction or Pavlik harness - infant
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