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Billing code

D027A — Toe interphalangeal dislocation – closed reduction

Toe joint dislocation, closed reduction

Bill for putting a dislocated toe interphalangeal joint back in place without surgery.

Watch for: Add E578 for each additional joint; open reduction is D029.

Code

D027A

Description

Toe interphalangeal 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 toe interphalangeal joint. Each additional joint is E578.

What it covers

D027 is closed reduction of an interphalangeal joint dislocation, listed under foot and ankle dislocations (N58).

Each additional dislocation is E578, and open reduction is D029 (N58).

Billing rules

• Add E578 for each additional interphalangeal dislocation (N58).
• 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).
• 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).
• Patients under 16: payment is increased by 10% to 30% depending on age (GP64).

Often billed with

• E578 for each additional dislocation (N58).
• E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: E578, D029, D030, E579, F058

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Foot and Ankle, page N58.

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