D060 – Sacrum and/or unilateral sacroiliac joint
OHIP Orthopaedic Surgery Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
This surgical procedure is for the open reduction of a dislocation of the sacro-iliac joint. This service is performed under the 'Pelvis and Hip' and 'Reduction' sub-sections of the Musculoskeletal System Surgical Procedures section. The service is eligible for an assistant fee (suffix <suffix>B</suffix>) with 6 basic units and an anaesthesia fee (suffix <suffix>C</suffix>) with 6 basic units.
When to Use
- Use D060 for the open reduction of a traumatic dislocation of the sacroiliac joint when internal fixation is required.
- Use this code for surgical intervention following high-energy pelvic ring disruption where the sacroiliac joint is the primary site of displacement.
Common Pitfalls
- Do not bill D060 for closed reductions; it is strictly defined as an open procedure.
- Avoid billing D060 in conjunction with D059 for the same joint, as this constitutes unbundling of the surgical approach.
- Failure to document the specific 'open' nature of the reduction in the operative report will lead to audit recovery.
Billing Tips
- Ensure the operative report clearly details the exposure and the specific reduction technique to support the 'open' designation of D060.
- If the procedure is performed for trauma, confirm the Injury Severity Score (ISS) is documented in the chart to support the E420 trauma premium.
Effective: April 1, 2026
N. Musculoskeletal System Surgical Procedures
MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
Surgical
Musculoskeletal System Surgical Procedures
All insured services must be documented in appropriate records that establish an insured service was provided, the service for which the account is submitted is the service that was rendered, and the service was medically necessary.
Ready to bill this code?
SnapBill makes OHIP billing simple — auto-filled codes, validation, and batch submission.