What are the billing rules for F007A?

Open reduction means treating the fracture or dislocation by closed intramedullary fixation or by an operation that exposes it; the fee includes fixation by internal or external devices (N1). The major pre-operative visit (the consultation or assessment where you decide to treat) may be billed in addition to the fracture or dislocation fee (N1, SP2). Multiple fractures or dislocations: the major one is paid at 100% and each other one at 85% (N1).

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Billing code

F007A — Finger phalanx fracture – open reduction

Q: What is OHIP billing code F007A?

Open reduction of a finger phalanx fracture, including any internal or external fixation.

Finger fracture, open reduction

Bill for open reduction of a finger phalanx fracture, including any internal or external fixation.

Watch for: If after-care is transferred to another physician, claim 80% of the fee.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$346.50	$0.00	$77.46	$111.72	$111.72

Code: F007A
Description: Finger phalanx fracture – open reduction
FHO+ basket: Not in the FHO+ base rate basket (Schedule 2 or 2B).
Effective date: Apr 1, 2026
Termination date: No end date

Explanation

Updated October 26, 2026

Open reduction of a finger phalanx fracture, including any internal or external fixation.

What it covers

F007 is open reduction of a phalanx fracture in the Hand and Wrist section (N14). Phalanx fractures without reduction are F004 and closed reductions are F005; intra-articular fractures are F006 (closed) and F010 (open) (N14).

Billing rules

Open reduction means treating the fracture or dislocation by closed intramedullary fixation or by an operation that exposes it; the fee includes fixation by internal or external devices (N1).
The major pre-operative visit (the consultation or assessment where you decide to treat) may be billed in addition to the fracture or dislocation fee (N1, SP2).
Multiple fractures or dislocations: the major one is paid at 100% and each other one at 85% (N1).
If after-care is transferred to another physician, the surgeon who did the open reduction claims 80% of the fee (N2).
Non-elective and started after hours: add E409 (+50%, weekday evenings and weekend/holiday days and evenings) or E410 (+75%, nights 00:00–07:00) (GP103–GP104, SP2).
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).
Age premiums of 10% to 30% apply for patients under 16 (GP64).

Related codes: F004, F005, F006, F010, F011, E558

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Hand and Wrist, page N14. Fracture and dislocation rules N1–N2.

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