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Billing code

F080A — Tibial shaft fracture – open reduction

Tibial shaft fracture, open

Bill F080 for open reduction of a tibial shaft fracture, with or without the fibula; closed intramedullary fixation also counts.

Watch for: Add E041 when an intramedullary nail with distal and proximal locking screws is used in the tibia.

Code

F080A

Description

Tibial shaft fracture – open 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

Open reduction of a tibial shaft fracture, with or without the fibula. Add E041 for an intramedullary nail with locking screws.

What it covers

F080 is open reduction of a tibial shaft fracture, with or without the fibula (N51). Closed intramedullary fixation also counts as open reduction (N1).

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).
• Add E041 for an intramedullary nail with distal and proximal locking screws in the tibia (N51).
• 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).

Often billed with

• E041 intramedullary nail with distal and proximal locking screws (N51).

Related codes: E041, F078, F079, F081, F084, R326

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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