Billing code
F047A — Humeral tuberosity fracture – no reduction
Humeral tuberosity fracture, no reduction
Bill F047 for definitive treatment of a humeral tuberosity fracture without reduction; closed reduction is F048, open reduction without cuff tear F049.
Watch for: For a referred case where this fee is below the surgical consultation fee, you may claim the consultation amount instead, with no other claims.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $67.80 | $0.00 | $0.00 | $0.00 | $0.00 |
- Code
- F047A
- Description
- Humeral tuberosity 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 a humeral tuberosity fracture without reduction.
What it covers
F047 is definitive treatment of a tuberosity fracture without reduction, in the Shoulder, Arm and Chest section (N26). Closed reduction is F048 and open reduction without cuff tear is F049 (N26).
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: F048, F049, F053, F042
Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Shoulder, Arm and Chest, page N26. Fracture and dislocation rules N1–N2.
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