Billing code
F101A — Primary femoral head prosthesis (hemiarthroplasty) for hip fracture
Hip hemiarthroplasty for fracture
Bill F101 for a primary femoral head prosthesis (Moore, Thompson, unipolar or bipolar) for a hip fracture.
Watch for: Don't bill F100 for fixing a trochanteric fracture during the same operation; it is included in F101.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $672.65 | $0.00 | $77.46 | $159.60 | $159.60 |
- Code
- F101A
- Description
- Primary femoral head prosthesis (hemiarthroplasty) for hip fracture
- 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
Primary prosthesis of the femur only (Moore, Thompson, unipolar or bipolar) for a hip fracture.
What it covers
F101 is a primary prosthesis of the femur only, including Moore, Thompson, unipolar and bipolar prostheses, listed with the open reductions of hip fractures (N39).
F101 includes reduction and fixation of a trochanteric fracture if performed (N40). Open reduction of a hip fracture includes arthrotomy and/or removal of loose bodies if performed (N40).
Billing rules
- Do not bill F100 for fixing a trochanteric fracture during the same F101 operation; it is included (N40).
- The major pre-operative visit (the consultation or assessment where you decide to operate) may be billed in addition (N1, SP2).
- Multiple fractures or dislocations: the major one is paid at 100% and the others at 85% (N1).
- Non-elective surgery started in the evening, at night, or on a weekend or holiday can add E409 (+50%) or E410 (+75%) (GP104, SP2).
- F101 is on the list of procedures that can take the E676 morbidly obese patient premium when BMI is over 40 and the other conditions are met (SP6).
Often billed with
- E409 or E410 after-hours premium for non-elective surgery (GP104).
- E676A morbidly obese patient premium, surgeon (+25%) (SP6).
Related codes: F100, D043, R628, E676
Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Pelvis and Hip, page N39.
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