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Billing code

F056A — Toe (phalanx) fracture – no reduction, rigid immobilization

Toe fracture, rigid immobilization

Bill F056 for a toe (phalanx) fracture treated without reduction using a custom-molded rigid immobilization; add E560 for each additional toe fracture.

Watch for: A simple splint, such as a metal splint, isn't rigid immobilization; that is billed as a visit only.

Code

F056A

Description

Toe (phalanx) fracture – no reduction, rigid immobilization

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 toe (phalanx) fracture without reduction, using rigid immobilization. Each additional toe fracture is E560.

What it covers

F056 is treatment of a phalanx fracture of the foot without reduction, using rigid immobilization (N58).

Each additional fracture is E560. Closed reduction is F058 (extra fractures E561), open reduction is F060, and an intra-articular IP joint fracture is F057 (N58).

Billing rules

• Rigid immobilization means a custom-molded device applied by the physician. A simple splint, such as a metal splint, is not rigid immobilization and is billed as a visit only (N1).
• Add E560 for each additional phalanx fracture (N58).
• 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).
• 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).
• Multiple fractures or dislocations: the major one is paid at 100% and each of the others at 85% (N1).
• 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).
• Patients under 16: payment is increased by 10% to 30% depending on age (GP64).

Often billed with

• E560 for each additional phalanx fracture (N58).
• The consultation or assessment that is the major pre-operative visit (N1).

Related codes: E560, F058, E561, F060, F057, Z198

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Foot and Ankle, page N58.

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