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Billing code

D035A — Ankle dislocation – closed reduction

Ankle dislocation, closed reduction

Bill for putting a dislocated ankle back in place without surgery.

Watch for: Not for recurrent dislocation or subluxation, which is billed with ligament repair codes.

Code

D035A

Description

Ankle 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 ankle. Open reduction is D036.

What it covers

D035 is closed reduction of an ankle dislocation (N58). Open reduction is D036 (N58).

Repair of a recurrent ankle dislocation or subluxation is billed with ligament repair codes, not D035 or D036 (N58).

Billing rules

• Not for recurrent dislocation or subluxation; use ligament repair codes (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 your reduction under general anaesthesia fails and you refer the patient for definitive care, claim 75% of the listed fee (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).

Often billed with

• F075 when an ankle fracture is reduced at the same time (major 100%, other 85%) (N1, N57).
• E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: D036, F075, F074, F104, D033

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

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