R472

Open reduction, late

Fee

ComponentValue
Provider fee$580.90
Assistant, listing; PDF p. 6076 basic units
Anaesthesia, listing; PDF p. 60710 basic units
Schedule and sources
Fee edition
October 1, 2026
Record effective
2026-04-01
Schedule edition
July 22, 2026; effective July 1, 2026
Official files

PDF page 607 / N27

- open reduction, late............................................................ 6 580.90 10
Passages mentioning R472

PDF page 607 / N27

MUSCULOSKELETAL SYSTEM SURGICAL PROCEDURES
 SHOULDER, ARM AND CHEST
                                                                                                        Asst   Surg     Anae
    Dislocations
     Acromio-clavicular/sterno-clavicular
# D014 - no reduction........................................................................                   67.80
# D025 - closed with anaesthetic ......................................................                  6     134.55    6
# D023 - open reduction....................................................................              6     326.40    7
# R596 - late......................................................................................      6     350.50    6
     Glenohumeral joint
# D015 - closed reduction without anaesthetic .................................                                 49.20
# D016 - closed reduction with anaesthetic ......................................                              111.40    6
# D017        - open reduction, early..........................................................          6     323.85     6
# R472        - open reduction, late............................................................         6     580.90    10
# R401        - open reduction, recurrent ...................................................            6     524.55    10
# E062        - coracoid transfer (Latarjet) or bone block graft to glenoid, to
                R401............................................................................. add          350.00
# E058          - revision/repair following previous glenohumeral joint
                  surgery, to R401................................................. add 30%
         Payment rules:
         1.E551A, E552A, E553A are not eligible for payment with E062.
         2.R472 is not eligible for payment for open reduction and repair of recurrent glenohumeral
           instability.
Fee master record

Master, record 4700. Record Layout PDF, page 1.

R47220260401999999990000580900000000774600000000000000000159600000001596000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.

FieldRaw / scale 10,000
provider00005809000 / 580.9
assistant00000774600 / 77.46
specialist00000000000 / 0
anaesthetist00001596000 / 159.6
non anaesthetist00001596000 / 159.6
Explanation

AI-generated. Unreviewed.

Open reduction, late, of a glenohumeral (shoulder) dislocation. It is listed under Musculoskeletal System Surgical Procedures, Shoulder, Arm and Chest, Dislocations, Glenohumeral joint.

Watch out for

E551A, E552A and E553A are not eligible for payment with E062. R472 is not eligible for payment for open reduction and repair of recurrent glenohumeral instability.

Sources and updates
Fee master effective October 1, 2026Schedule effective July 1, 2026Source versions and changes
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