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Billing code

D042A — Hip dislocation – closed reduction

Hip dislocation, closed reduction

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

Watch for: A transport splint, skin traction or pelvic sling is emergency splinting included in the visit, not a reduction.

Code

D042A

Description

Hip 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 hip. Open reduction is D043, or R628 when more than four weeks old.

What it covers

D042 is closed reduction of a hip dislocation, listed under pelvis and hip closed reductions (N39).

Open reduction of a hip dislocation is D043, or R628 when late (after four weeks) (N39).

Billing rules

• A closed reduction is reduction of a fracture or dislocation by non-operative methods, including traction (N1).
• A femoral fracture transport splint, skin traction or a pelvic sling is emergency splinting, not a closed reduction; it is included in the visit fee (N39).
• 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).
• 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

• E412/E413 or E409/E410 when non-elective and done after hours (GP104).

Related codes: D043, R628, F134, D059, D038

Source: Schedule of Benefits (July 1, 2026), Musculoskeletal System Surgical Procedures, Pelvis and Hip, page N39.

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