What are the billing rules for F087A?

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). 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).

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Billing code

F087A — Patella fracture – open reduction or excision

Q: What is OHIP billing code F087A?

Open reduction or excision of a patella fracture, with or without repair.

Kneecap fracture, open or excision

Bill F087 for open reduction or excision of a patella fracture, with or without repair.

Watch for: An osteochondral fracture in the knee is F021, not F087.

Provider	Specialist	Assistant	Anaesthetist	Non-anaesthetist
$504.45	$0.00	$77.46	$111.72	$111.72

Code: F087A
Description: Patella fracture – open reduction or excision
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 or excision of a patella fracture, with or without repair.

What it covers

F087 is open reduction or excision of a patella fracture, with or without repair (N48). An osteochondral fracture in the knee is F021 (N48).

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).
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).

Related codes: F085, F021, R589, D041

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Knee, page N48. Fracture and dislocation rules N1–N2.

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