F096

Femur

Fee

ComponentValue
Provider fee$774.05
Assistant, listing; PDF p. 6236 basic units
Anaesthesia, listing; PDF p. 6238 basic units
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 623 / N43

Femur ..................................................................................... 6 774.05 8
Passages mentioning F096

PDF page 623 / N43

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
 FEMUR
                                                                                                     Asst    Surg     Anae
# F095 Closed reduction of femoral fracture including one of:
        - application of external fixation, or
        - skeletal traction, or
        - closed reduction with application of unilateral or bilateral hip
          spica cast in infant or child                                                               6      407.35    6
      Open reduction
# F096 Femur .....................................................................................    6      774.05    8
# F093 Diaphyseal or metaphyseal distal femur fracture with intra-
         articular extension – with or without intramedullary fixation                                6     1285.00    8
         Payment rules:
         1.F096 includes intramedullary nail with proximal and distal locking screws if performed.
         2.F093 is not eligible for payment for repair of an isolated distal femoral osteochondral fracture.
         3.F021 and F096 are not eligible for payment with F093 for treatment of fractures below the
           intertrochanteric region on the same femur.
         4.E555 is not eligible for payment with F094 or F095.
         5.Z207 and Z209 are not eligible for payment with F095.
Fee master record

Master, record 1761. Record Layout PDF, page 1.

F09620260401999999990000774050000000774600000000000000000127680000001276800

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00007740500 / 774.05
assistant00000774600 / 77.46
specialist00000000000 / 0
anaesthetist00001276800 / 127.68
non anaesthetist00001276800 / 127.68
Explanation

AI-generated. Unreviewed.

This service is for a femur fracture under Asst Surg Anae, Open reduction. The listing is for the femur.

Watch out for

F096 includes intramedullary nail with proximal and distal locking screws if performed. F021 and F096 are not eligible for payment with F093 for treatment of fractures below the intertrochanteric region on the same femur. E555 is not eligible for payment with F094 or F095. F093 is not eligible for payment for repair of an isolated distal femoral osteochondral fracture.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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