< Billing codes

Billing code

F077A — Ankle fracture – open reduction, multiple malleoli or ligaments

Ankle fracture, multiple malleoli, open

Bill F077 for open reduction of an ankle fracture involving more than one malleolus or ligaments; one malleolus is F076.

Watch for: F108 (plafond burst, open reduction) can't be billed with F077 for the same ankle; OHIP rejects the pair.

Code

F077A

Description

Ankle fracture – open reduction, multiple malleoli or ligaments

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 more than one malleolus or ligaments.

What it covers

F077 is open reduction of an ankle fracture involving multiple malleoli or ligaments (N57). One malleolus is F076 (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).
• 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).
• Age premiums of 10% to 30% apply for patients under 16 (GP64).

Common rejections

• ADH: OHIP describes this as 'Cannot be billed together': F108 isn't payable with F077 for repair of the same ankle (N57).

Related codes: F076, 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.

APEX checks every paid claim against the Schedule of Benefits and flags codes billed below what the visit qualified for. See how APEX works · Pricing