Code Details & Principles for W7400
Code details & principles for
W7400
- Chapter 16 / Joints, including Replacement/Reconstruction (Not listed elsewhere)
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| W7400 | Reconstruction of one or two ligaments not elsewhere specified | 16.5.0 Joints, including Replacement/Reconstruction (Not listed elsewhere) |
Unacceptable Combinations for W7400
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| W7410 | Multiple ligament reconstruction of knee | 2011-11-04 |
| W7420 | Autograft anterior cruciate ligament reconstruction +/- meniscectomy | 2014-07-03 |
| W7440 | Allograft anterior cruciate ligament reconstruction +/- meniscectomy | 2013-01-12 |
| W7451 | 2 stage revision anterior cruciate ligament reconstruction - first stage | 2015-11-30 |
| W7452 | 2 stage revision anterior cruciate ligament reconstruction - second stage | 2015-11-30 |
| W7470 | Revision of anterior cruciate ligament reconstruction including autograft/allograft | 2010-01-20 |
| W7480 | Posterior cruciate ligament reconstruction | 2010-01-20 |
| W7500 | Prosthetic open repair of ligament not elsewhere specified | 2010-01-20 |
| W8250 | Partial replacement of the meniscus of the knee using a biodegradable scaffold | 2013-05-08 |
| W9020 | Dynamic arthrogram of joint | 2011-09-23 |
| W9040 | Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral | 2014-06-19 |
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