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D027
D027 – Closed reduction - Interphalangeal dislocation
OHIP Orthopaedic Surgery Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
When to Use
- Use D027 for the manual closed reduction of a dislocated interphalangeal joint in the foot or ankle, provided no incision is required.
- Use D027 when the reduction is performed in an office or clinic setting, allowing for the additional billing of casting codes E584 and E578.
Common Pitfalls
- Do not bill D027 if the procedure requires an open reduction; use the appropriate open reduction code instead.
- Billing E578 without first billing E584 will result in a rejection, as E578 is strictly an add-on for subsequent casts.
- Attempting to bill D027 for a dislocation of the metatarsophalangeal joint is incorrect; this code is specific to interphalangeal joints.
Billing Tips
- Ensure that if you perform the reduction in an office setting, you append E584 to the claim to capture the plaster cast application fee.
- If the patient is under 16 years of age, remember to apply the appropriate age premium percentage to the D027 base fee to maximize reimbursement.
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