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Billing code

D030A — Metatarsophalangeal joint dislocation – closed reduction

Toe base dislocation, closed reduction

Bill for putting a dislocated metatarsophalangeal (toe base) joint back in place without surgery.

Watch for: Add E579 for each additional joint; open reduction is D032.

Code

D030A

Description

Metatarsophalangeal joint 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 metatarsophalangeal (toe base) joint. Each additional joint is E579.

What it covers

D030 is closed reduction of a metatarsophalangeal joint dislocation in the foot (N58, N59).

Each additional dislocation is E579, and open reduction is D032 (N59).

Billing rules

• Add E579 for each additional metatarsophalangeal dislocation (N59).
• 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

• E579 for each additional dislocation (N59).
• E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: E579, D032, D027, D026, D033

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Foot and Ankle, page N59.

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