All codes
D014
D014 – Acromio-clavicular/sterno-clavicular - no reduction
OHIP Orthopaedic Surgery Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Management of a dislocation of the acromio-clavicular or sterno-clavicular joint, where no reduction procedure is performed. This service is listed under the Musculoskeletal System Surgical Procedures section for the shoulder, arm, and chest.
When to Use
- Use D014 for the initial assessment and management of an acromio-clavicular or sterno-clavicular dislocation where you determine that no reduction (manipulation) is required.
- Use this code when providing non-operative management, such as sling immobilization or conservative care, for a confirmed joint dislocation.
Common Pitfalls
- Do not bill D014 if you perform a reduction; use D025 instead if a closed reduction is actually carried out.
- Avoid billing D014 in conjunction with a standard office visit (A007) on the same day, as the surgical fee for D014 is intended to cover the assessment and management of the injury.
- Billing D014 for simple soft tissue contusions or sprains without a documented dislocation is an audit risk, as the code specifically requires a dislocation diagnosis.
Billing Tips
- Ensure the medical record clearly states the diagnosis of a dislocation and specifies that no reduction was performed to justify the use of D014 over D025.
- If the procedure occurs after hours or on weekends, remember to append the appropriate E-code (E409 or E410) to the D014 claim to maximize the procedural fee.
Provider Fee$67.80
Effective: April 1, 2025
Category
N. Musculoskeletal System Surgical Procedures
Subcategory
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Service Type
Surgical
Code Classes
Musculoskeletal System Surgical Procedures
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.