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Billing code

F061A — Metatarsal fracture(s) – one or more

Metatarsal fracture(s), no reduction

Bill F061 for definitive treatment, without reduction, of one or more metatarsal fractures; rigid immobilization is F062, closed reduction F063.

Watch for: If you apply custom-molded rigid immobilization, bill F062 instead of F061.

Code

F061A

Description

Metatarsal fracture(s) – one or more

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 one or more metatarsal fractures, listed without reduction or rigid immobilization (those are F062 and F063).

What it covers

F061 is listed under metatarsus fractures as 'one or more' (N57). It sits above F062 ('with rigid immobilization') and F063 (closed reduction, one or more) (N57).

Open reduction is F064 (one) or F065 (two or more) (N57, N58).

Billing rules

• The listing covers one or more metatarsal fractures (N57).
• 'No reduction' means definitive treatment by any method other than reduction, including the first external support other than a simple splint (N1).
• If you apply custom-molded rigid immobilization, bill F062 instead (N57, N1).
• 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).
• 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

• The consultation or assessment that is the major pre-operative visit (N1).

Related codes: F062, F063, F064, F065, Z199

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Foot and Ankle, page N57.

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