Billing code
D041A — Patellar dislocation – open reduction, early
Kneecap dislocation, early open reduction
Bill for early surgical reduction of a dislocated kneecap, including any internal or external fixation.
Watch for: Late open reduction is R255 and recurrent dislocation repair is R403; transferring after-care means you bill 80%.
| Provider | Specialist | Assistant | Anaesthetist | Non-anaesthetist |
|---|---|---|---|---|
| $335.65 | $0.00 | $0.00 | $111.72 | $111.72 |
- Code
- D041A
- Description
- Patellar dislocation – open reduction, early
- 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
Early open reduction of a patellar dislocation.
What it covers
D041 is early open reduction of a patellar dislocation (N49). Late open reduction is R255 and repair of recurrent dislocation is R403. Closed reduction is D040 (without anaesthetic) or D031 (with anaesthetic) (N49).
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).
- For recurrent patellar dislocation, R403 (with or without osteotomy, including joint inspection) is the listed repair (N49).
- 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: D040, D031, R255, R403, D038, F087
Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Knee, page N49. Fracture and dislocation rules N1–N2.
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