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D003

D003Open reduction of finger dislocation

OHIP Orthopaedic Surgery Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits

Open reduction of a finger dislocation. This is a surgical procedure to realign the bones of a dislocated finger joint, typically performed when a closed reduction (e.g., D001) is not possible or has failed. This service includes eligibility for assistant (suffix B) and anaesthesia (suffix C) services.

When to Use

  • Use D003 when a closed reduction (D001) has been attempted and failed, necessitating an incision to achieve anatomical alignment.
  • Use D003 for complex finger dislocations where soft tissue interposition prevents successful closed reduction.

Common Pitfalls

  • Billing D003 in conjunction with D001 for the same finger is a common audit trigger; ensure the clinical record clearly justifies why the open procedure was required.
  • Failing to document the specific anatomical findings or the necessity of the open approach can lead to recovery if the claim is audited for appropriateness.

Billing Tips

  • Ensure that if an assistant or anaesthesiologist is utilized, their respective claims are submitted with the appropriate suffix (B or C) to trigger the correct base unit calculations.
Provider Fee$288.35
Surgical Assistant Fee$77.46
Anaesthetist Fee$95.76
Non-Anaesthetist Fee$95.76

Effective: April 1, 2026

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Musculoskeletal System Surgical Procedures

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