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Billing code

F021A — Fractures - Osteochondral - Open Reduction

Radial styloid or osteochondral repair

Bill for open reduction of an osteochondral radial or ulnar fracture or an isolated radial styloid fracture.

Watch for: Not payable with F030 for the same wrist.

Code

F021A

Description

Fractures - Osteochondral - 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 an osteochondral radial or ulnar fracture and/or an isolated radial styloid fracture. Also listed for knee osteochondral fractures.

What it covers

F021 is open reduction of an osteochondral radial or ulnar fracture and/or an isolated radial styloid fracture (N21).

The same code is listed under the Knee section for open reduction of an osteochondral fracture (N48).

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).
• Not payable with F030 for fractures of the same wrist (N22).
• F021 is not payable with F093 for fractures below the intertrochanteric region of the same femur (N43).
• 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).

Common rejections

• ADH: OHIP describes this as 'Cannot be billed together': F021 isn't payable with F030 for the same wrist, or with F093 below the intertrochanteric region of the same femur (N22, N43).

Related codes: F030, F027, F028, F046, F087, F093

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Elbow and Forearm, page N21. Fracture and dislocation rules N1–N2.

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