D029 – Open reduction - Interphalangeal dislocation
OHIP Orthopaedic Surgery Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Open reduction of an interphalangeal dislocation of the foot. This is a surgical procedure listed under the 'Foot and Ankle' section of the Schedule of Benefits. This service is performed by a surgeon (suffix A) and may be accompanied by a surgical assistant (suffix B) and an anaesthesiologist (suffix C).
When to Use
- Use D029 when a formal incision is required to achieve reduction of a dislocated interphalangeal joint of the foot, as opposed to a closed reduction which is typically billed as a minor procedure or included in an assessment.
- Select D029 for open reduction procedures where the joint remains unstable or irreducible via closed manipulation, necessitating surgical exposure.
Common Pitfalls
- Billing D029 for a closed reduction; closed procedures are not surgical and do not qualify for this fee code.
- Failing to include the required Injury Severity Score (ISS) documentation in the medical record when claiming the E420 trauma premium, which leads to automatic claim rejection.
- Confusing D029 with D028 (Open reduction of metatarsophalangeal dislocation); ensure the anatomical site (interphalangeal vs. metatarsophalangeal) is clearly specified in the operative report.
Billing Tips
- Ensure the operative report explicitly describes the surgical incision and the necessity of the open approach to justify the D029 fee over non-surgical alternatives.
- When claiming after-hours premiums (E409 or E410), ensure the case start time is accurately recorded, as these are strictly dependent on the commencement time of the procedure.
Effective: April 1, 2025
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
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