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F108
F108 – Ankle fracture with tibial Plafond burst - open reduction
OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Open reduction for an ankle fracture with a tibial Plafond burst. This is a surgical procedure and is eligible to be billed with suffixes 'A' for the surgeon, 'B' for an assistant, and 'C' for an anaesthesiologist. The fee for the surgeon (F108A) is a set amount. The fees for the assistant (F108B) and anaesthesiologist (F108C) are calculated based on base units plus time units. The base units for the assistant are 6, and for the anaesthesiologist are 6, as specified in the Schedule of Benefits on page .
For the Trauma premium (E420) to be payable, the medical record must list the Injury Severity Score (ISS).
All insured services must be documented in appropriate records establishing that the service was provided, medically necessary, and matches the submitted claim.
If performed by a Medical Trainee, the Supervising Physician must ensure specific documentation requirements are met, including signing off on the service in the patient's medical record.
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