What are the billing rules for F019A?

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

F019A — Scaphoid fracture – open reduction

Q: What is OHIP billing code F019A?

Open reduction of a scaphoid fracture, including internal or external fixation.

Scaphoid fracture, open reduction

Bill for open reduction of a scaphoid fracture, including 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
$637.30	$0.00	$77.46	$111.72	$111.72

Code: F019A
Description: Scaphoid 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 scaphoid fracture, including internal or external fixation.

What it covers

F019 is open reduction of a scaphoid fracture (N15). Scaphoid fractures without reduction are F018 and excision is F020 (N15).

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: F018, F020, F016, F017, F102

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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