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Billing code

F076A — Ankle fracture – open reduction, one malleolus

Ankle fracture, one malleolus, open

Bill F076 for open reduction of an ankle fracture involving one malleolus; multiple malleoli or ligaments are F077.

Watch for: F108 (plafond burst, open reduction) can't be billed with F076 for the same ankle; OHIP rejects the pair.

Code

F076A

Description

Ankle fracture – open reduction, one malleolus

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 reduction of an ankle fracture involving one malleolus.

What it covers

F076 is open reduction of an ankle fracture involving one malleolus (N57). Multiple malleoli or ligaments are F077. Ankle fractures without reduction are F074 and closed reductions F075 (N57).

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).
• For multiple malleoli or ligaments, bill F077 instead (N57).
• F108 (ankle fracture with tibial plafond burst, open reduction) is not payable with F076 or F077 for the same ankle (N57).
• 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).

Common rejections

• ADH: OHIP describes this as 'Cannot be billed together': F108 isn't payable with F076 for repair of the same ankle (N57).

Related codes: F077, F074, F075, F108, F104, D036

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Foot and Ankle, page N57. Fracture and dislocation rules N1–N2.

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