Code Details & Principles for X4822
Code details & principles for
X4822
- Chapter 16 / Other (e.g. POP)
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| X4822 | Change of cast under general anaesthetic (as sole procedure) | 16.3.6 Other (e.g. POP) |
Unacceptable Combinations for X4822
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| T6762 | Repair of tendon of foot - flexor | 2010-01-20 |
| T6763 | Repair of tendon of foot - extensor | 2010-01-20 |
| W0300 | Multiple procedures on forefoot, distal to and including the tarsometatarsal joint, which involves at least two distinct procedures not intrinsic to each other - unilateral | 2013-05-16 |
| W0310 | Multiple procedures on forefoot, distal to and including the tarsometatarsal joints, which involves at least two distinct procedures not intrinsic to each other - bilateral | 2013-05-16 |
| W0321 | Osteotomies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - unilateral | 2012-04-04 |
| W0322 | Osteotomies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - bilateral | 2012-04-04 |
| W0330 | Fusion of first metatarsophalangeal joint - unilateral | 2010-01-20 |
| W0380 | Fusion of first metatarsophalangeal joint - bilateral | 2010-01-20 |
| W0420 | Triple fusion of joints of hindfoot without autogenous graft | 2010-01-20 |
| W0422 | Triple fusion of joints of hindfoot with autogenous graft | 2010-01-20 |
| W0432 | Isolated subtalar fusion or midfoot fusion with autogenous graft | 2010-01-20 |
| W0434 | Isolated subtalar fusion or midfoot fusion without autogenous graft | 2010-01-20 |
| W0460 | Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers) | 2013-03-03 |
| W0462 | Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation) | 2010-01-20 |
| W0463 | Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation) | 2010-01-20 |
| W0464 | Complex procedure to mid foot and hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers, fixation) | 2010-01-20 |
| W0881 | Excision of joint of toe with release of contracture and soft tissue correction | 2010-01-20 |
| W2502 | Closed reduction of fracture of long bone (including cast or percutaneous K-wires) | 2011-11-04 |
| W2580 | Closed reduction of fracture of short bone with external fixator | 2010-01-20 |
| W2582 | Closed reduction of fracture of short bone (including cast or percutaneous K-wires) | 2011-11-04 |
| W3032 | Removal of fixator/frame/pins/wires and change of plaster (as sole procedure) | 2010-01-20 |
| W3530 | Removal of percutaneous wire | 2010-01-20 |
| W4410 | Total prosthetic replacement of ankle joint | 2010-01-20 |
| W4420 | Complex total replacement of ankle (i.e. including custom prosthesis, wedges, internal fixation of fractures) | 2013-06-04 |
| W5310 | Total prosthetic replacement of wrist joint | 2010-01-20 |
| W5930 | <p>Fusion of digit joint(s) of hand +/- graft & +/- internal fixation</p> | 2011-11-03 |
| W5940 | Fusion of interphalangeal joint(s) of toe (including internal fixation) - unilateral | 2010-01-20 |
| W5980 | Fusion of interphalangeal joint(s) of toe (including internal fixation) - bilateral | 2010-01-20 |
| W6200 | <p>Total fusion of all joints of wrist +/- graft & +/- internal fixation</p> | 2011-11-03 |
| W6202 | Partial fusion of wrist | 2010-01-20 |
| W6630 | Primary closed reduction of fracture or dislocation of joint, +/- fixation (including cast application) | 2011-11-04 |
| W7580 | Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (adult) | 2013-07-23 |
| W7582 | Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (child) | 2014-06-18 |
| X2200 | Closed reduction and Frog POP for congenital dislocation of hip (including dynamic arthrogram, traction and soft tissue release) | 2010-01-20 |
| X2260 | Open reduction and Frog POP for congenital dislocation of hip (including traction and innominate/femoral osteotomy) | 2010-01-20 |
| X2280 | Manipulation of hip and casting (as sole procedure) | 2010-01-20 |
| X4810 | Change of cast without general anaesthetic (as sole procedure) | 2012-01-06 |
Coding Principles
These coding principles set out how the authors intend that the codes and narratives within the CCSD Schedule are interpreted and used. The outputs are available to be used by all individual insurers and providers including CCSD and non-CCSD members. Please note that:
- The CCSD Group does not discuss nor determine classifcations, reimbursement or fees - all insurers will have their own view on these matters
- The inclusion of a procedure code and/or its associated coding principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers' own Schedules or covered
- The coding principles are non-exhaustive guidelines only - each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information