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D032
D032 – Open reduction
OHIP Orthopaedic Surgery Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
D032 represents the open reduction of a metatarsophalangeal joint dislocation. This is a surgical procedure categorized under the Musculoskeletal System section of the OHIP Schedule of Benefits, specifically addressing dislocations of the foot and ankle.
When to Use
- Use D032 when a closed reduction attempt for a metatarsophalangeal joint dislocation has failed and surgical arthrotomy is required to achieve reduction.
- Select D032 for open reduction procedures involving the MTP joint, distinguishing it from D030 which covers the closed reduction of the same joint.
Common Pitfalls
- Billing D032 in conjunction with a consultation or assessment code on the same day is often rejected unless a separate, unrelated clinical issue is addressed and documented.
- Failing to append the appropriate surgical assistant or anaesthesia codes when the procedure is performed in an operating room setting leads to significant under-billing.
- Confusing D032 with D030; ensure the operative report explicitly describes the incision and open approach to justify the higher complexity fee.
Billing Tips
- Always verify if the procedure qualifies for E409 after-hours premiums if performed outside standard daytime hours to increase the base fee by 50%.
- Ensure the operative report clearly differentiates the open surgical technique from a simple closed reduction (D030) to survive potential post-payment audits.
Provider Fee$163.35
Surgical Assistant Fee$75.06
Anaesthetist Fee$108.43
Non-Anaesthetist Fee$108.43
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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