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D029

D029Open 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.
Provider Fee$151.25
Surgical Assistant Fee$75.06
Anaesthetist Fee$92.94
Non-Anaesthetist Fee$92.94

Effective: April 1, 2025

Category

N. Musculoskeletal System Surgical Procedures

Subcategory

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES

Service Type

Surgical

Code Classes

Musculoskeletal System Surgical Procedures

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