Billing code
D016A — Shoulder (glenohumeral) dislocation – closed reduction with anaesthetic
Shoulder dislocation, with anaesthetic
Bill for putting a dislocated shoulder back in place without surgery, using an anaesthetic.
Watch for: Without an anaesthetic, bill D015 instead.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $111.40 | $0.00 | $0.00 | $95.76 | $95.76 |
- Code
- D016A
- Description
- Shoulder (glenohumeral) dislocation – closed reduction with anaesthetic
- 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 shoulder (glenohumeral joint) with an anaesthetic.
What it covers
D016 is closed reduction of a glenohumeral (shoulder) dislocation with an anaesthetic (N27). Closed reduction means reducing the dislocation by non-operative methods, including traction (N1).
Without an anaesthetic the code is D015; open reduction is D017 (early), R472 (late) or R401 (recurrent) (N27).
Billing rules
- Without an anaesthetic, bill D015 (N27).
- The major pre-operative visit (consultation or assessment) can be billed in addition (N1).
- Multiple fractures or dislocations: the major one is paid at 100%, the others at 85% (N1).
- Transferred for after-care: the physician who did the closed reduction claims 75% of the fee (N2).
- Surgical procedure: age premiums apply for patients under 16, from +10% (age 5–15) up to +30% (under 30 days) (GP64).
- Non-elective and done after hours: ED physicians billing H-codes add E412 (+20%, evenings/weekends/holidays) or E413 (+40%, 00:00–07:00); other physicians add E409 or E410 (GP104).
- Marked #: the fee doesn't include premises, equipment, supplies or staff, which the hospital budget funds when done in hospital (GP13).
Often billed with
- E412 or E413 when an ED physician reduces it non-electively after hours (GP104).
Related codes: D015, D017, R472, R401, D025
Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Shoulder, Arm and Chest, page N27; fracture and dislocation rules N1–N2.
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