All codes
F200
F200 – Spine fracture - no reduction, brace
OHIP Anaesthesia Code — SPINAL SURGICAL PROCEDURES · Schedule of Benefits
This service is for the non-operative management of a spinal fracture where no reduction is performed. It includes the application of a brace, such as a Halo orthosis, and encompasses the total care provided by the operating surgeon. 'Total care' typically includes the initial assessment leading to the decision for this management, the application of the orthosis, and all subsequent follow-up care related to the fracture management provided by that surgeon.
When to Use
- Use F200 for the non-operative management of a stable spinal fracture where the primary intervention is the application of a brace, such as a Halo orthosis.
- Select this code when you are providing the 'total care' package, which includes the initial assessment, the application of the orthosis, and all subsequent follow-up visits related to the fracture.
Common Pitfalls
- Do not bill separate follow-up assessment codes (e.g., A007) for routine fracture checks, as these are considered included in the 'total care' fee of F200.
- Avoid billing F200 if a surgical reduction (e.g., F201) is performed, as F200 is strictly for non-reduction management.
- Billing F200 in addition to other spinal surgical procedures (e.g., N572) on the same day is often flagged as an unbundling error unless the services are for distinct, unrelated conditions.
Billing Tips
- Ensure the claim includes the appropriate age premium (e.g., AGE_PREMIUM_LT16Y) if the patient qualifies, as this is a surgical procedure code eligible for these modifiers.
- Maintain clear documentation of the brace application date, as this defines the start of the 'total care' period and the timeline for all included follow-up services.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.