Question 1

What is OHIP billing code D042?

Accepted Answer

D042 is "Hip dislocation", an OHIP Musculoskeletal System Surgical Procedures code from the Ontario Schedule of Benefits (Physician Services).

Question 2

How much does D042 pay?

Accepted Answer

The current OHIP fee for D042 is $268.25, effective 2026-04-01, per the Ontario Schedule of Benefits.

Question 3

How do I bill D042 to OHIP?

Accepted Answer

D042 is submitted through OHIP's MCEDT claims system, either directly or via billing software. SnapBill validates D042 claims against the Schedule of Benefits rules before submission.

Question 4

What codes are related to D042?

Accepted Answer

Codes related to D042 in the Schedule of Benefits include D043, R628.

D042 – Hip dislocation

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