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Billing code

F009A — Metacarpal fracture – closed reduction

Metacarpal fracture, closed reduction

Bill for closed (non-operative) reduction of a metacarpal fracture; add E504 for each additional metacarpal fracture.

Watch for: Casts or corrective splints in the first 2 weeks are included; E569 can't be billed with E826.

Code

F009A

Description

Metacarpal fracture – closed 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

Closed reduction of a metacarpal fracture. Extra metacarpal fractures are E504; open reduction is F011.

What it covers

F009 is closed (non-operative) reduction of a metacarpal fracture (N14). A closed reduction is reduction by non-operative methods, including traction (N1).

Treatment without reduction using rigid immobilization is F008; open reduction is F011 (N14).

Billing rules

• Add E504 for each additional metacarpal fracture (N14; Agreement p.92).
• Percutaneous pinning: E826 adds 75% to F009. E569 (+50% to a closed reduction fee) can't be billed with E826 (N3).
• E555 rigid external fixation (+50%) or E544 cast bracing (+40%, not with a prefabricated cast, brace or splint) may be added to the closed reduction fee (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).

Often billed with

• E504 for each additional metacarpal fracture (N14).
• E826 percutaneous pinning, +75% (N3).
• E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: F008, F011, E504, E559, E826, F005, F006

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

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