If the same physician performs an open reduction following an attempted closed reduction, under the same anesthetic, only the benefit for open reduction may be claimed.

If the same physician performs an open reduction following an attempted closed reduction, under a different anesthetic, benefits for both may be claimed.

An additional 50% of the listed benefit may be claimed by orthopedic surgeons for open reduction of a fracture with demonstrated radiographic non-union at least 12 weeks from the date of the initial fracture (NUFRAC modifier).