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D062
D062 – Temporomandibular joint - closed reduction
OHIP Orthopaedic Surgery Code — MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES · Schedule of Benefits
Closed reduction of a dislocation of the temporomandibular joint. This procedure is designated with a '#' prefix, indicating that when performed in a hospital, the premises, equipment, supplies, and personnel are funded by the hospital's global budget and cannot be charged to the patient (see ). As a surgical procedure, it is eligible for anaesthesia with 6 base units.
When to Use
- Use D062 for the manual reduction of an acute temporomandibular joint (TMJ) dislocation performed in an emergency or clinical setting.
- Use D062 when the procedure is performed as a standalone intervention, distinct from a comprehensive oral surgery consultation or complex fracture management.
Common Pitfalls
- Billing D062 in addition to F138 or F139 is strictly prohibited; these codes are mutually exclusive and will trigger an automatic rejection.
- Failing to document the specific nature of the dislocation and the reduction technique can lead to audit scrutiny regarding the necessity of the procedure.
Billing Tips
- Ensure the procedure is coded as a surgical service; if performed in a hospital setting, remember that the '#' prefix confirms the hospital covers all supplies and facility costs.
Provider Fee$51.65
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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