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Billing code

F053A — Humeral neck fracture (no head dislocation) – no reduction

Humeral neck fracture, no reduction

Bill F053 for treatment without reduction of a humeral neck fracture without head dislocation; with head dislocation use F050 to F052.

Watch for: Check whether the humeral head is dislocated; if it is, F050 to F052 apply instead of F053.

Code

F053A

Description

Humeral neck fracture (no head dislocation) – 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 neck fracture without dislocation of the head, without reduction.

What it covers

F053 is definitive treatment of a neck fracture without dislocation of the head, without reduction, in the Shoulder, Arm and Chest section (N26). Closed reduction is F054 and open reduction is F055. Neck fractures with dislocation of the head are F050 to F052 (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: F054, F055, F050, F047, 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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