F098 – Femoral neck trochanteric, subtrochanteric - closed reduction/traction
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This surgical procedure involves the non-operative management of a femoral neck, trochanteric, or subtrochanteric fracture through closed reduction and the application of traction. This code is used when the fracture is managed without open surgical intervention like pinning or prosthetics.
When to Use
- Use F098 for the non-operative management of a femoral neck, trochanteric, or subtrochanteric fracture when the definitive treatment is closed reduction and the application of traction.
- Select this code when the patient is medically unfit for surgical fixation (e.g., pinning or arthroplasty) and requires stabilization via traction as the primary management strategy.
Common Pitfalls
- Do not bill F098 if any open surgical intervention, such as internal fixation or prosthetic replacement, is performed; those procedures require their own specific surgical codes.
- Avoid billing F098 in conjunction with fracture fixation codes like F099 or F100, as this constitutes unbundling and will lead to claim rejection.
- Failure to document the specific type of traction applied and the clinical rationale for choosing closed management over operative fixation is a common audit trigger.
Billing Tips
- Ensure the procedure date and time are accurately recorded to support the application of non-elective surgical premiums (E409A or E410A) if the reduction occurs after hours.
- If the patient meets the criteria for a major trauma (ISS > 15 for adults or > 12 for pediatrics), remember to append the E420 trauma premium to the claim to receive the 50% increase.
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 appropriate records that establish the service was provided, is the service for which the account is submitted, and was medically necessary.
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