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Billing code

F016A — Carpal fracture – closed reduction

Carpal fracture, closed reduction

Bill for closed reduction of one or more carpal bone fractures, other than the scaphoid, which has its own codes.

Watch for: For percutaneous pinning use E826; E569 isn't payable with E826.

Code

F016A

Description

Carpal 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 one or more carpal bone fractures.

What it covers

F016 is closed reduction of one or more carpal fractures (N15). Carpal fractures without reduction are F102 and open reductions are F017. Scaphoid fractures have their own codes, F018 to F020 (N15).

Billing rules

• Closed reduction means reduction by non-operative methods, including traction (N1).
• Percutaneous pinning may be added as E826 (+75%); E569 is not payable with E826 (N3).
• E555 rigid external fixation (+50%) and E544 cast bracing (+40%, not for prefabricated devices) may be added to a closed reduction fee (N3).
• 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, you claim 75% of the fee and the receiving surgeon bills visits (N2).
• Plaster casts or corrective splints applied at surgery or in the first 2 weeks are not billed separately when a fracture or dislocation fee applies (N7).
• 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).

Often billed with

• E826 percutaneous pinning (N3).
• E555 rigid external fixation (N3).
• E544 cast bracing (N3).

Common rejections

• ADH: OHIP describes this as 'Cannot be billed together': E569 isn't payable with E826; with F016 use E826 for percutaneous pinning (N3).

Related codes: F102, F017, E826, E555, E544, F018, F019

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Hand and Wrist, page N15. Fracture and dislocation rules N1–N2.

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