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Billing code

F058A — Toe (phalanx) fracture – closed reduction, one

Toe fracture, closed reduction

Bill F058 for closed reduction of one toe (phalanx) fracture; add E561 for each additional toe fracture reduced.

Watch for: Bill extra toe fractures with E561, not repeated F058; casts in the first 2 weeks are included in the fee.

Code

F058A

Description

Toe (phalanx) fracture – closed reduction, one

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 one toe (phalanx) fracture. Each additional toe fracture reduced is E561.

What it covers

F058 is closed reduction of one phalanx fracture of the foot (N58). Each additional fracture is E561 (N58).

Without reduction (rigid immobilization) it is F056, open reduction is F060, and an intra-articular IP joint fracture is F057 (N58).

Billing rules

• Add E561 for each additional phalanx fracture reduced (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).
• 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

• E561 for each additional phalanx fracture (N58).
• E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: E561, F056, E560, F060, F057, D027

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

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