Billing code
F072A — Os calcis or talus fracture – open reduction
Heel or talus fracture, open
Bill F072 for open treatment of an os calcis fracture with subtalar and calcaneocuboid joint repair, or a talus fracture with neck or body repair.
Watch for: Not payable for an isolated osteochondral or avulsion fracture of the talus or os calcis; those are F066 to F068.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $746.10 | $0.00 | $77.46 | $95.76 | $95.76 |
- Code
- F072A
- Description
- Os calcis or talus fracture – open 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
Open treatment of an os calcis fracture with subtalar and calcaneocuboid joint repair, or a talus fracture with talar neck or body repair.
What it covers
F072 is open reduction of an os calcis fracture with repair of both the subtalar and calcaneocuboid joints, or of a talus fracture with repair of the talar neck or body (N58).
Billing rules
- Open reduction means treating the fracture or dislocation by closed intramedullary fixation or by an operation that exposes it; the fee includes fixation by internal or external devices (N1).
- Not payable for an isolated osteochondral or avulsion fracture of the talus or os calcis; those are the Tarsus codes F066 to F068 (N58).
- The major pre-operative visit (the consultation or assessment where you decide to treat) may be billed in addition to the fracture or dislocation fee (N1, SP2).
- Multiple fractures or dislocations: the major one is paid at 100% and each other one at 85% (N1).
- If after-care is transferred to another physician, the surgeon who did the open reduction claims 80% of the fee (N2).
- Non-elective and started after hours: add E409 (+50%, weekday evenings and weekend/holiday days and evenings) or E410 (+75%, nights 00:00–07:00) (GP103–GP104, SP2).
- 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).
- Age premiums of 10% to 30% apply for patients under 16 (GP64).
Related codes: F070, F071, F068, F066, F067
Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Foot and Ankle, page N58. Fracture and dislocation rules N1–N2.
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