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Billing code

D025A — AC or SC joint dislocation – closed reduction with anaesthetic

Collarbone joint dislocation, closed reduction

Bill for putting a dislocated acromio-clavicular or sterno-clavicular joint back in place without surgery, under anaesthetic.

Watch for: An anaesthetic or block you give for your own procedure isn't paid separately; no reduction is D014.

Code

D025A

Description

AC or SC joint 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 with anaesthetic of an acromioclavicular or sternoclavicular dislocation.

What it covers

D025 is closed reduction with anaesthetic of an acromio-clavicular or sterno-clavicular dislocation (N27). No reduction is D014, open reduction is D023 and late repair is R596 (N27).

Billing rules

• Closed reduction means reduction by non-operative methods, including traction (N1).
• An anaesthetic or block you give for your own procedure isn't separately payable (SP5).
• The major pre-operative visit (the consultation or assessment where you decide to treat) may be billed in addition to the fracture or dislocation fee (N1, SP2).
• Multiple fractures or dislocations: the major one is paid at 100% and each other one at 85% (N1).
• If after-care is transferred to another physician, you claim 75% of the fee and the receiving surgeon bills visits (N2).
• Plaster casts or corrective splints applied at surgery or in the first 2 weeks are not billed separately when a fracture or dislocation fee applies (N7).
• Non-elective and started after hours: add E409 (+50%, weekday evenings and weekend/holiday days and evenings) or E410 (+75%, nights 00:00–07:00) (GP103–GP104, SP2).
• 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).

Related codes: D014, D023, R596, F110

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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