< Billing codes

Billing code

F006A — Intra-articular hand fracture – closed reduction

Hand joint fracture, closed reduction

Bill for closed reduction of an intra-articular fracture of the hand; add E503 for each additional fracture.

Watch for: Casts or corrective splints in the first 2 weeks are included; open reduction is F010.

Code

F006A

Description

Intra-articular hand fracture – closed reduction

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2025

Termination date

No end date

Explanation

Updated October 26, 2026

Closed reduction of an intra-articular fracture of the hand. Extra fractures are E503; open reduction is F010.

What it covers

F006 is closed reduction of an intra-articular fracture, listed under hand fractures (N14).

Each additional fracture is E503, and open reduction is F010 (N14).

Billing rules

• Add E503 for each additional intra-articular fracture (N14).
• Percutaneous pinning: E826 adds 75% to F006. E569 can't be billed with E826 (N3).
• The major pre-operative visit (the consultation or assessment) can be billed in addition (N1).
• A cast or corrective splint applied during the first 2 weeks is included in the fracture or dislocation fee; later casts are billed from the cast listings (N7).
• Repeat reductions of the same fracture or dislocation: claim the full fee for the final reduction and after-care; earlier reductions by the same surgeon are claimed at 85% (N2).
• If you transfer the patient to another physician for after-care, bill 75% of the listed fee; the physician giving after-care bills visit fees (N2).
• Non-elective fracture or dislocation care started in the evening, on a weekend or holiday, or at night takes an after-hours premium: E412 (+20%) or E413 (+40%) for an Emergency Department Physician billing H codes, or E409 (+50%) or E410 (+75%) for other physicians (GP103, GP104).
• FHO: a Schedule 4 code that counts toward the office procedures special payment when done in your office for enrolled patients (Agreement p.67 §8.7, p.92).

Often billed with

• E503 for each additional fracture (N14).
• E826 percutaneous pinning, +75% (N3).

Related codes: E503, F010, F005, F009, E826

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Hand and Wrist, page N14.

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing