D003 – Open 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.
Effective: April 1, 2026
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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