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Billing code

F081A — Tibial plateau fracture – medial or lateral

Tibial plateau fracture

Bill F081 for operative treatment of a medial or lateral tibial plateau fracture, including internal or external fixation.

Watch for: Add E532 (+50%) when both tibial plateaus of the same knee are treated.

Code

F081A

Description

Tibial plateau fracture – medial or lateral

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

Operative treatment of a medial or lateral tibial plateau fracture. Add E532 when both plateaus of the same knee are treated.

What it covers

F081 is listed under tibia fractures for the medial or lateral tibial plateau (N51).

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 E532 (+50%) when both tibial plateaus of the same knee are treated (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

• E532 both tibial plateaus, same knee (N51).

Related codes: E532, F080, F079, F078, E041

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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