Billing code
F079A — Tibia fracture – closed reduction
Tibia fracture, closed reduction
Bill F079 for closed reduction of a tibia fracture, with or without a fibula fracture; open reduction of the shaft is F080.
Watch for: Casts or splints in the first 2 weeks are included; if after-care goes to another physician, claim 75% of the fee.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $180.05 | $0.00 | $77.46 | $95.76 | $95.76 |
- Code
- F079A
- Description
- Tibia fracture – closed 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
Closed reduction of a tibia fracture, with or without a fibula fracture.
What it covers
F079 is closed reduction of a fracture of the tibia, with or without the fibula (N51). Without reduction (rigid immobilization) it is F078; open reduction of the shaft is F080 (N51).
Billing rules
- Closed reduction means reduction by non-operative methods, including traction (N1).
- 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, you claim 75% of the fee and the receiving surgeon bills visits (N2).
- Plaster casts or corrective splints applied at surgery or in the first 2 weeks are not billed separately when a fracture or dislocation fee applies (N7).
- 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).
Often billed with
- E555 rigid external fixation (+50% of the closed reduction fee) (N3).
- E544 cast bracing (+40%), not for prefabricated devices (N3).
- E569 percutaneous pinning (+50%) (N3).
Related codes: F078, F080, F081, E555, E544, E569
Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Fibula and Tibia, page N51. Fracture and dislocation rules N1–N2.
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