What are the billing rules for F078A?

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 F078A often billed with?

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

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Billing code

F078A — Tibia fracture (with or without fibula) – no reduction, rigid immobilization

Q: What is OHIP billing code F078A?

Treatment of a tibia fracture, with or without fibula, without reduction, using rigid immobilization the physician custom-molds and applies.

Tibia fracture, rigid immobilization

Bill F078 for a tibia fracture, with or without the fibula, treated without reduction using custom-molded rigid immobilization.

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
$115.95	$0.00	$0.00	$0.00	$0.00

Code: F078A
Description: Tibia fracture (with or without fibula) – 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 a tibia fracture, with or without fibula, without reduction, using rigid immobilization the physician custom-molds and applies.

What it covers

F078 is treatment of a fracture of the tibia, with or without the fibula, without reduction, using rigid immobilization (N51).

Closed reduction is F079, open reduction of the shaft is F080, and a tibial plateau fracture is F081 (N51).

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: F079, F080, F081, F082, Z213, Z211

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Fibula and Tibia, page N51.

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