F100 – Femoral neck, pertrochanteric, intertrochanteric, trochanteric fracture fixation
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service is for the open reduction of a femoral neck, trochanteric, or subtrochanteric fracture. The procedure involves surgically accessing the fracture and using internal fixation devices such as a pin and plate and/or screws (including cannulated screws) or intramedullary fixation with proximal and distal locking screws to align and stabilize the bone for healing. This is a surgical procedure listed under the Musculoskeletal System section for the Pelvis and Hip. The service includes 6 basic units for an assistant and 10 basic units for anaesthesia, with time units calculated according to the rules in the Schedule of Benefits.
When to Use
- Use F100 for open reduction and internal fixation (ORIF) of femoral neck fractures using cannulated screws or sliding hip screws.
- Apply F100 for the fixation of pertrochanteric or intertrochanteric fractures using cephalomedullary nails or dynamic hip screws.
- Select F100 when performing subtrochanteric fracture fixation requiring intramedullary devices with proximal and distal locking.
Common Pitfalls
- Billing F100 in conjunction with F098 or F099 is a common error, as these codes are mutually exclusive for the same fracture site.
- Submitting a hospital admission assessment (A005) on the same day as F100 will trigger a rejection unless it is specifically documented as the major pre-operative assessment.
- Failing to account for the inclusion of hardware removal or minor debridement within the global surgical fee of F100 leads to unnecessary audit scrutiny.
Billing Tips
- Ensure the operative report explicitly details the fixation method, as the Ministry may audit F100 claims to distinguish between internal fixation and hemiarthroplasty (R600).
- Claim the major pre-operative assessment (A001 or A007) separately from F100 only if the decision to operate was made during that specific encounter.
Effective: April 1, 2026
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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