Billing code
F011A — Metacarpal fracture – open reduction
Metacarpal fracture, open reduction
Bill for open reduction of a metacarpal fracture; add E559 for each additional metacarpal treated by open reduction.
Watch for: If after-care is transferred to another physician, claim 80% of the fee.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $320.80 | $0.00 | $77.46 | $111.72 | $111.72 |
- Code
- F011A
- Description
- Metacarpal 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 metacarpal fracture. Add E559 for each additional metacarpal treated by open reduction.
What it covers
F011 is open reduction of a metacarpal fracture in the Hand and Wrist section (N14). Metacarpal fractures without reduction are F008 and closed reductions are F009 (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).
- Add E559 for each additional metacarpal fracture treated by open reduction (N14).
- 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).
Often billed with
- E559 each additional metacarpal, open (N14).
Related codes: E559, F008, F009, E504, F007, F010
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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