Billing code
F029A — Epicondyle fracture – no reduction
Epicondyle fracture, no reduction
Bill for definitive treatment of an epicondyle fracture without reduction.
Watch for: The first external support is included, and a cast in the first 2 weeks isn't billed separately.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $67.75 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- F029A
- Description
- Epicondyle fracture – no reduction
- FHO+ basket
- Not in the FHO+ base rate basket (Schedule 2 or 2B).
- Effective date
- Apr 1, 2025
- Termination date
- No end date
Explanation
Updated October 26, 2026
Treatment of an epicondyle fracture without reduction.
What it covers
F029 is definitive treatment of an epicondyle fracture without reduction (N21). Closed reduction is F037 and open reduction is F038 (N21).
Billing rules
- No reduction means definitive treatment by any other method, and includes the first external support other than a simple splint (N1).
- If the case was referred and this fee is lower than the surgical consultation fee, you may claim the consultation amount under this procedure code instead, with no other claims for the care (SP4).
- 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).
- Age premiums of 10% to 30% apply for patients under 16 (GP64).
Related codes: F037, F038, F039, F040
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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