What is OHIP billing code F121?

F121 is "Scapula - open reduction", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

How much does F121 pay?

The current OHIP fee for F121 is $908.90, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill F121 to OHIP?

F121 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates F121 claims against the Schedule of Benefits rules before submission.

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F121

F121 – Scapula - open reduction

OHIP Musculoskeletal System Surgical Procedures Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

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Open reduction of a fracture of the scapula. This is a surgical procedure listed under the Musculoskeletal System section. It involves surgically exposing the fractured scapula to realign the bone fragments, which may then be held in place with internal fixation devices. The service is eligible for surgeon (<suffix>A</suffix>), assistant (<suffix>B</suffix>), and anaesthetist (<suffix>C</suffix>) fees. Fees for the assistant and anaesthetist are calculated based on basic units plus time units as detailed in the General Preamble (, , , ).

All insured services must be documented in appropriate records to establish that the service was provided, medically necessary, and is the same service for which the account is submitted.

For unit-based services (anaesthesia and surgical assistant), the physician must record the start and end times of the service in the patient's permanent medical record or chart.

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