F110 – Clavicle - closed reduction with anaesthetic
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
A surgical service for the closed reduction of a clavicle (collarbone) fracture performed under anaesthesia. This procedure does not involve a surgical incision (open reduction) to realign the bone. It is listed under the Musculoskeletal System Surgical Procedures section. The fee for the surgeon is a set amount, while the fees for the surgical assistant and anaesthetist are calculated based on basic and time units as defined in the Schedule of Benefits (, ).
When to Use
- Use F110 when a clavicle fracture is manually realigned under general or regional anaesthesia without an incision.
- Use F110 for pediatric clavicle fractures requiring sedation or anaesthesia for successful closed reduction, distinguishing it from simple immobilization.
Common Pitfalls
- Billing F110 alongside F118 is a common rejection; you must choose the code that reflects the actual procedure performed (closed vs. open).
- Failing to document the use of anaesthesia in the operative note is a frequent audit trigger, as the code specifically requires it for validity.
- Billing F110 when no reduction was performed; if the fracture was merely immobilized without manipulation, this code is not applicable.
Billing Tips
- Ensure the operative report explicitly states the method of reduction and the type of anaesthesia used to support the claim during post-payment review.
- If the procedure qualifies as trauma, remember to append the E420 premium and ensure the Injury Severity Score (ISS) is clearly documented in the patient record.
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, establishing that the service was provided, was medically necessary, and matches the service claimed. See .
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.