What is OHIP billing code D006?

D006 is "Open reduction - Metacarpal/phalangeal dislocation", an OHIP Orthopaedic Surgery code from the Ontario Schedule of Benefits (Physician Services).

How much does D006 pay?

The current OHIP fee for D006 is $282.70, effective 2026-04-01, per the Ontario Schedule of Benefits.

How do I bill D006 to OHIP?

D006 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates D006 claims against the Schedule of Benefits rules before submission.

What codes are related to D006?

Codes related to D006 in the Schedule of Benefits include D004.

All codes

D006

D006 – Open reduction - Metacarpal/phalangeal dislocation

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

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This surgical procedure involves the open reduction of a dislocation of a metacarpal/phalangeal joint in the hand or wrist. This service is eligible for assistant and anaesthesia services, which are calculated based on base and time units. - **Assistant Fee (D006B):** Calculated based on 6 base units plus time units. See to for detailed calculation rules. - **Anaesthesia Fee (D006C):** Calculated based on 7 base units plus time units. See to for detailed calculation rules.

When to Use

Use D006 for open reduction of a metacarpal or phalangeal dislocation where the joint is exposed surgically, as opposed to closed reduction (D004).
Select D006 when the procedure involves formal incision and exposure to address a complex or irreducible dislocation of the hand or wrist.

Common Pitfalls

Billing D006 when only a closed reduction and percutaneous pinning were performed, which may be considered a lesser procedure or require different coding.
Failing to differentiate between D006 and D004, as billing the open procedure code for a closed reduction is a common audit trigger for overpayment.
Incorrectly applying assistant or anaesthesia premiums without verifying the 'case commencement' time, which must align with the actual start of the surgical procedure.

Billing Tips

Ensure that surgical assistant (D006B) and anaesthesia (D006C) claims are calculated using the correct base units (6 and 7 respectively) plus the documented time units.
When performing non-elective procedures after hours, verify that the patient meets the criteria for E409 or E410 to maximize the procedural fee, provided the case is not being billed by an Emergency Department physician.

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Provider Fee$282.70

Surgical Assistant Fee$77.46

Anaesthetist Fee$111.72

Non-Anaesthetist Fee$111.72

Effective: April 1, 2026

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