All codes
D001
D001 – Closed reduction of finger dislocation
OHIP Orthopaedic Surgery Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use D001 for the manual closed reduction of a finger dislocation performed in an office or emergency department setting.
- Use D001 when a patient presents with a digit dislocation that does not require open surgical intervention or internal fixation.
Common Pitfalls
- Billing D001 for a fracture reduction; fracture reductions must be billed under the appropriate fracture codes (e.g., F-series codes) rather than D001.
- Attempting to bill E584 (plaster cast application) for a splint or for a cast applied in a hospital setting, both of which are ineligible for this flat fee.
- Failing to document the specific finger(s) reduced, which leads to rejections when claiming multiple units of E576.
Billing Tips
- Always append E576 for each additional finger dislocation reduced during the same encounter, as D001 covers only the first digit.
- If the procedure is performed outside of a hospital, ensure E584 is included on the claim if a plaster cast is applied to stabilize the reduction.
Provider Fee$57.50
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94
Effective: April 1, 2025
Since Oct 2005, this fee has increased 0.0% vs 51.4% CPI inflation
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
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