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Billing code

F063A — Metatarsal fracture(s) – closed reduction, one or more

Metatarsal fracture(s), closed

Bill F063 for closed reduction of one or more metatarsal fractures; open reduction is F064 (one) or F065 (two or more).

Watch for: The listing already covers one or more metatarsals; casts or splints in the first 2 weeks are included in the fee.

Code

F063A

Description

Metatarsal fracture(s) – closed reduction, one or more

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 or more metatarsal fractures. Open reduction is F064 or F065.

What it covers

F063 is closed reduction of one or more metatarsal fractures (N57). Open reduction is F064 (one) or F065 (two or more) (N57, N58).

A fracture service such as F063 may also be paid with closed or open reduction of a tarsometatarsal dislocation (D026, D028) (N59).

Billing rules

• The listing covers one or more metatarsal fractures (N57).
• 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).

Often billed with

• D026 tarsometatarsal dislocation, closed reduction (N59).
• E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: F061, F062, F064, F065, D026

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

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