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F099
F099 – Femoral neck trochanteric, subtrochanteric fracture - open reduction - pin only
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Open reduction of a fracture of the femoral neck, trochanteric, or subtrochanteric region. This procedure involves surgical exposure of the fracture site and internal fixation using only a pin. This service is eligible for anaesthesia (8 base units) and surgical assistant (6 base units) services.
When to Use
- Use F099 specifically for open reduction and internal fixation of femoral neck, trochanteric, or subtrochanteric fractures where the fixation hardware is limited to a pin only.
- Choose F099 when the surgical approach requires open exposure of the fracture site, distinguishing it from closed reduction techniques that would fall under different procedural codes.
Common Pitfalls
- Billing F099 when a more complex construct, such as a sliding hip screw or intramedullary nail, is used; these require different codes (e.g., F100 or F101) as they exceed the 'pin only' definition.
- Attempting to bill F099 alongside other fracture management codes for the same site, which will trigger a rejection for duplicate or overlapping services.
Billing Tips
- Ensure the operative report explicitly documents the use of a 'pin only' to support the selection of F099 over more comprehensive internal fixation codes.
- Verify the start time of the procedure to accurately apply E409 or E410 if the surgery occurs after hours, as these premiums significantly impact the total procedural reimbursement.
Provider Fee$408.30
Specialist Fee$0.00
Surgical Assistant Fee$75.06
Anaesthetist Fee$123.92
Non-Anaesthetist Fee$123.92
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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