What are the billing rules for F036A?

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

F036A — Olecranon fracture – open reduction

Q: What is OHIP billing code F036A?

Open reduction of an olecranon fracture, including internal or external fixation.

Olecranon fracture, open reduction

Bill for open reduction of an olecranon 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
$705.35	$0.00	$77.46	$111.72	$111.72

Code: F036A
Description: Olecranon 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 an olecranon fracture, including internal or external fixation.

What it covers

F036 is open reduction of an olecranon fracture (N21).

A Monteggia fracture-dislocation treated by open reduction of the ulna and closed reduction of the radial head may be claimed as D009 plus F033 or F036, depending on the part of the ulna repaired (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: F034, F035, F033, D009, R268

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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