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F123
F123 – Sternum - closed reduction
OHIP Anaesthesia Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
A surgical procedure for the closed reduction of a fracture of the sternum, as listed in the Musculoskeletal System section of the OHIP Schedule of Benefits. Closed reduction refers to the repositioning of the bone to its normal alignment without surgically opening the skin.
When to Use
- Use F123 when performing a manual manipulation to realign a displaced sternal fracture without surgical incision.
- Use this code for sternal fracture reductions performed in an emergency or clinical setting where the skin remains intact.
Common Pitfalls
- Do not bill F123 if an open reduction (surgical incision) is performed; use the appropriate open reduction code instead.
- Avoid billing a standard assessment or consultation on the same day as F123 unless it qualifies as the 'major pre-operative visit' as per the surgical preamble.
- Ensure the procedure is not confused with F124 or F125, which pertain to different musculoskeletal interventions.
Billing Tips
- If the procedure is performed after hours or on weekends, ensure you append the correct premium code (E409 or E410) to the F123 claim to capture the 50% or 75% increase.
- For pediatric patients, always verify the age-based surgical premium eligibility to ensure the 10% to 30% fee increase is applied correctly.
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