Billing code
D036A — Ankle dislocation – open reduction
Ankle dislocation, open reduction
Bill for surgically reducing a dislocated ankle, including any internal or external fixation.
Watch for: Recurrent ankle dislocation or subluxation is billed with ligament repair codes, not D036.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $252.45 | $0.00 | $77.46 | $111.72 | $111.72 |
- Code
- D036A
- Description
- Ankle dislocation – open 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
Open reduction of an ankle dislocation. Recurrent dislocation is billed with ligament repair codes.
What it covers
D036 is open reduction of an ankle dislocation (N58). Closed reduction is D035 (N58).
Billing rules
- Open reduction means treating the fracture or dislocation by closed intramedullary fixation or by an operation that exposes it; the fee includes fixation by internal or external devices (N1).
- Repair of recurrent ankle dislocation and/or subluxation should be claimed with ligament repair codes, not D035 or D036 (N58).
- 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, the surgeon who did the open reduction claims 80% of the fee (N2).
- 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).
- Age premiums of 10% to 30% apply for patients under 16 (GP64).
Related codes: D035, F076, F077, F074, F075
Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Foot and Ankle, page N58. Fracture and dislocation rules N1–N2.
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