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Billing code

D007A — Carpal dislocation – closed reduction

Wrist bone dislocation, closed reduction

Bill for putting a dislocated carpal (wrist) bone back in place without surgery.

Watch for: A cast or splint in the first 2 weeks is included; transferring after-care means you bill 75% of the fee.

Code

D007A

Description

Carpal dislocation – closed reduction

FHO+ basket

Not in the FHO+ base rate basket (Schedule 2 or 2B).

Effective date

Apr 1, 2026

Termination date

No end date

Explanation

Updated October 26, 2026

Closed reduction of a dislocated carpal (wrist) bone. Open reduction is D008.

What it covers

D007 is closed reduction of a carpal dislocation (N15). Open reduction is D008 (N15).

For open reduction of the distal radio-ulnar joint together with open reduction of the distal radius, see E064 (N15, N21).

Billing rules

• A closed reduction is reduction of a fracture or dislocation by non-operative methods, including traction (N1).
• The major pre-operative visit (the consultation or assessment) can be billed in addition (N1).
• A cast or corrective splint applied during the first 2 weeks is included in the fracture or dislocation fee; later casts are billed from the cast listings (N7).
• Repeat reductions of the same fracture or dislocation: claim the full fee for the final reduction and after-care; earlier reductions by the same surgeon are claimed at 85% (N2).
• If you transfer the patient to another physician for after-care, bill 75% of the listed fee; the physician giving after-care bills visit fees (N2).
• Multiple fractures or dislocations: the major one is paid at 100% and each of the others at 85% (N1).
• Non-elective fracture or dislocation care started in the evening, on a weekend or holiday, or at night takes an after-hours premium: E412 (+20%) or E413 (+40%) for an Emergency Department Physician billing H codes, or E409 (+50%) or E410 (+75%) for other physicians (GP103, GP104).
• FHO: a Schedule 4 code that counts toward the office procedures special payment when done in your office for enrolled patients (Agreement p.67 §8.7, p.92).

Often billed with

• E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: D008, F016, F102, D004, D001, F018

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Hand and Wrist, page N15.

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