What are the billing rules for F074A?

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). 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).

What is F074A often billed with?

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

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Billing code

F074A — Ankle fracture – no reduction, rigid immobilization

Q: What is OHIP billing code F074A?

Treatment of an ankle fracture without reduction, using rigid immobilization the physician custom-molds and applies.

Ankle fracture, rigid immobilization

Bill F074 for an ankle fracture treated without reduction using rigid immobilization you custom-mold and apply.

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

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$67.75	$0.00	$0.00	$0.00	$0.00

Code: F074A
Description: Ankle 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 an ankle fracture without reduction, using rigid immobilization the physician custom-molds and applies.

What it covers

F074 is treatment of an ankle fracture without reduction, using rigid immobilization (N57).

Closed reduction is F075. Open reduction is F076 (one malleolus) or F077 (multiple malleoli or ligaments), and tibial plafond burst fractures have their own listings (F104, F108) (N57).

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).
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

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

Related codes: F075, F076, F077, F104, D035, Z213

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

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