What are the billing rules for F026A?

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

F026A — Radius and ulna shaft fracture – open reduction

Q: What is OHIP billing code F026A?

Open reduction of fractures of both the radius and ulna shafts.

Forearm both-bone fracture, open reduction

Bill for open reduction of fractures of both the radius and ulna shafts, 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
$854.65	$0.00	$77.46	$111.72	$111.72

Code: F026A
Description: Radius and ulna shaft 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 fractures of both the radius and ulna shafts.

What it covers

F026 is open reduction of a radius and ulnar shaft fracture (N21). The same fracture without reduction is F024 and closed reduction is F025. A single radius or ulna fracture is F031 to F033 (N21).

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: F024, F025, F033, F032, F014, F022

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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