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Billing code

F054A — Humeral neck fracture without dislocation of the head – closed reduction

Humeral neck fracture, closed

Bill F054 for closed reduction of a humeral neck fracture without dislocation of the head; open reduction is F055.

Watch for: If the humeral head is dislocated, bill F050 to F052 instead; casts in the first 2 weeks are included in the fee.

Code

F054A

Description

Humeral neck fracture without dislocation of the head – closed 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

Closed reduction of a fracture of the humeral neck without dislocation of the head. Open reduction is F055.

What it covers

F054 is closed reduction of a fracture of the neck of the humerus without dislocation of the head, listed under shoulder fractures (N26).

No reduction is F053, and open reduction is F055. If the head is dislocated, use F050 to F052 (N26).

Billing rules

• Add-ons to a closed reduction fee: E569 percutaneous pinning (+50%), E555 rigid external fixation (+50%), E544 cast bracing (+40%, not with a prefabricated cast, brace or splint) (N3).
• The major pre-operative visit (the consultation or assessment) can be billed in addition (N1).
• A cast or corrective splint applied during the first 2 weeks is included in the fracture or dislocation fee; later casts are billed from the cast listings (N7).
• 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).
• If you transfer the patient to another physician for after-care, bill 75% of the listed fee; the physician giving after-care bills visit fees (N2).
• Non-elective fracture or dislocation care started in the evening, on a weekend or holiday, or at night takes an after-hours premium: E412 (+20%) or E413 (+40%) for an Emergency Department Physician billing H codes, or E409 (+50%) or E410 (+75%) for other physicians (GP103, GP104).
• If your reduction under general anaesthesia fails and you refer the patient for definitive care, claim 75% of the listed fee (N2).
• Patients under 16: payment is increased by 10% to 30% depending on age (GP64).

Often billed with

• E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: F053, F055, F051, F048, F043

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Shoulder, Arm and Chest, page N26.

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