F102 – No reduction, rigid immobilization
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This service involves the rigid immobilization of a carpal fracture without the need for reduction. It is listed under Musculoskeletal System Surgical Procedures, Hand and Wrist, Fractures, Carpus.
When to Use
- Use F102 for non-displaced carpal fractures, such as a stable scaphoid fracture, that require rigid immobilization without manual or surgical reduction.
- Use this code when the clinical intent is strictly immobilization for healing, distinguishing it from F016 or F017 which involve active reduction of fractures.
Common Pitfalls
- Billing F102 in conjunction with a consultation or assessment code on the same day is often rejected unless a separate, identifiable reason for the visit is clearly documented.
- Do not bill F102 if a reduction was performed; if the fracture required manipulation, you must use the appropriate reduction code instead.
- Failing to add E584 when the cast is applied in an office setting results in lost revenue, as F102 covers the procedure but not the specific material application fee.
Billing Tips
- Always append E584 to your F102 claim when performing the immobilization in an office or home setting to capture the additional plaster application fee.
- Ensure the medical record explicitly states 'no reduction required' to justify the use of F102 over higher-valued reduction codes during a potential audit.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
Surgery to alleviate significant physical symptoms, which have not responded to a minimum of six months active treatment, or to restore or improve function to any area altered by disease, trauma or congenital deformity normally is an insured service.
Reconstructive procedures for post-traumatic deformities are insured services at the acute stage; within two years, or if part of a pre-planned staged process of repair.
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