Code Details & Principles for W9040

Code details & principles for

W9040

  • Chapter 16 / Joints, including Replacement/Reconstruction (Not listed elsewhere)
Code Description Chapter/Sub-Chapter Code Specific Guidance
W9040 Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral 16.5.0 Joints, including Replacement/Reconstruction (Not listed elsewhere) If you are carrying out separate procedures on different areas of the body, the unacceptable combination principles may not be applicable. When contacting an insurer, please make it clear which areas of the body are being treated so that these can be reviewed appropriately.

Unacceptable Combinations for W9040

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
A5790 Sacroiliac joint injection under image guidance (and bilateral) 2013-12-04
T6450 Tenodesis of biceps tendon (as sole procedure) 2010-01-20
T7910 Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle 2013-06-04
T7915 Arthroscopic rotator cuff repair greater than 2cm 2010-01-20
T7941 Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - first stage 2020-09-18
T7942 Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - second stage 2020-09-18
T7981 Extensive (greater than 2cm tear) repair of large muscle (including arthroscopic) (excluding rotator cuff) 2011-11-15
T7982 Arthroscopic subacromial decompression and rotator cuff repair (including arthroscopic procedures in glenohumeral joint) 2014-08-07
T7990 Revision of open or arthroscopic rotator cuff repair +/- decompression 2010-01-20
T8002 Minor release of muscle for pain or contracture (involving small joint) 2013-06-04
T8003 Major release of muscle for pain or contracture (e.g. Quadriceps) (involving large joint) 2010-01-20
T8050 Surgical release of humeral epicondylitis (lateral or medial) (e.g. Tennis Elbow")" 2011-11-30
V2020 Prosthetic replacement of temporomandibular joint 2010-01-20
V2030 Arthroplasty of temporomandibular bone joint - unilateral 2010-01-20
V2031 Arthroplasty of temporomandibular bone joint - bilateral 2022-10-14
V2110 Temporomandibular meniscectomy 2010-01-20
V2120 Reduction of dislocation of temporomandibular joint 2010-01-20
W0285 Trapezio-metacarpal joint surface replacement 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
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
W0512 Interpositional silastic arthroplasty of metacarpophalangeal (MCP) or proximal interphalangeal (PIP) joint - single digit 2010-01-20
W0513 Interpositional silastic arthroplasty of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints - multiple digits 2014-06-09
W0514 Prosthetic surface arthroplasty of interphalangeal/ metacarpo-phalangeal joint - single joint (both cemented and uncemented) 2010-01-20
W0632 Prosthetic patello-femoral replacement - unilateral (as sole procedure) 2010-01-20
W0633 Prosthetic replacement of patellofemoral joint - bilateral (as sole procedure) 2013-03-17
W0860 Metatarsophalangeal cheilectomy - unilateral, as sole procedure 2014-07-03
W0861 Metatarsophalangeal cheilectomy - bilateral, as sole procedure 2014-06-19
W0890 Excision distal clavicle (as sole procedure) 2011-11-04
W1380 Arthroscopic femoro-acetabular surgery for hip impingement syndrome, including labral repair and osteochondroplasty 2013-09-10
W1590 Correction of retracted/dislocated metatarsophalangeal joint (including tendon transfer, division/realignment of bone and internal fixation) 2011-11-15
W1648 Osteotomy/transfer of greater trochanter (as sole procedure) 2011-11-04
W2100 Primary open reduction of intra-articular fracture of long bone with internal fixation, e.g. proximal humerus or proximal tibia (+/- arthroscopic assistance) 2013-06-04
W2830 Removal of internal fixation from bone / joint, excluding K-wires +/- image guidance 2010-01-20
W3110 Osteochondral grafting as a single stage procedure 2012-01-06
W3122 Harvesting for autologous chondrocyte transplantation into knee (including arthroscopy) 2012-01-06
W3123 Implantation of autologous chondrocytes into knee (including knee surgery, debridement and periosteal flap or membrane cover) 2012-02-03
W3140 Implantation of autologous chondrocytes into knee using an Advanced Therapy Medicinal Product (including knee surgery, debridement and periosteal flap or membrane cover) 2012-02-27
W3712 Primary total hip replacement +/- cement 2011-11-25
W3713 Complex primary total hip replacement (including bone grafting or femoral osteotomy) 2011-11-04
W3714 Total hip replacement, +/- cement, after excision arthroplasty or arthrodesis (including conversion of hemiarthroplasty or revision of other previous hip surgery which involved internal fixation) 2011-11-04
W3715 Hip resurfacing arthroplasty 2012-06-11
W3717 Minimally invasive hip replacement - unilateral 2010-01-20
W3718 Minimally invasive hip resurfacing 2010-01-20
W3719 Hip resurfacing arthroplasty bilateral 2012-06-11
W3720 Robotic assisted total hip replacement - unilateral +/- cement 2016-11-04
W3721 Robotic assisted total hip replacement - bilateral +/- cement 2022-02-24
W3732 Revision of uncemented or cemented total hip replacement without adjunctive procedures - unilateral 2010-01-20
W3733 Revision of total hip replacement (including insertion of reconstruction rings, plates, screws, etc., and/or impaction bone grafting to acetabulum and/or femur) - unilateral 2011-11-04
W3744 Robotic assisted revision of total hip replacement - unilateral 2024-02-07
W3745 Robotic assisted revision of total hip replacement (inclduing insertion of reconstruction rings, plates, screws +/- impaction bonegrafting to acetabulum +/- femur) - unilateral 2024-02-07
W3751 Customised unilateral hip replacement 2019-07-16
W3780 Total prosthetic replacement of the hip, +/- cement, bilateral 2011-11-03
W3942 Removal of total hip replacement and creating a pseudarthrosis 2010-01-20
W3943 Removal of total hip replacement and complete clearance of cement 2013-06-07
W3944 Acetabular liner and head changes 2010-01-20
W3945 Open reduction and internal fixation for periprosthetic fracture around hip 2010-01-20
W4200 Complex primary total knee replacement (i.e. including bone graft, augmentation or osteotomy) 2010-01-20
W4210 Total prosthetic replacement of knee joint +/- cement +/- patella resurfacing - unilateral 2014-03-04
W4212 Minimally invasive knee replacement +/- cement +/- patella resurfacing - unilateral 2010-01-20
W4214 Customised unicompartmental knee replacement 2016-12-02
W4216 Customised bicompartmental knee replacement 2016-12-02
W4218 Customised total prosthetic replacement of knee joint 2016-12-02
W4230 Revision of total replacement of knee joint 2010-01-20
W4231 Robotic assisted revision of total knee replacement - unilateral 2019-11-14
W4240 2 stage revision of total knee replacement for infection - first stage 2010-01-20
W4242 2 stage revision of total knee replacement for infection - second stage 2013-11-22
W4244 Tibial liner exchange in total knee replacement 2017-04-06
W4280 Total prosthetic replacement of knee joint +/- cement +/- patella resurfacing - bilateral 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
W4430 Revision of total prosthetic replacement of ankle joint 2012-02-27
W4441 Harvesting for autologous chondrocyte transplantation into ankle 2010-01-20
W4442 Implantation of autologous chondrocyte into ankle 2010-01-20
W4542 Open reduction, internal fixation and revision of femoral component for periprosthetic fracture 2010-01-20
W4543 Open reduction, internal fixation and complete revision for periprosthetic fracture 2010-01-20
W4600 Prosthetic replacement of head of femur 2010-01-20
W4900 Shoulder hemiarthroplasty (as sole procedure) 2011-11-04
W4902 Shoulder hemiarthroplasty with reconstruction for fracture 2012-04-27
W4920 Conversion of hemiarthroplasty to total shoulder replacement 2010-01-20
W4930 Revisional shoulder hemiarthroplasty 2010-01-20
W5000 Primary total shoulder replacement 2013-06-04
W5030 Revision total shoulder replacement 2010-01-20
W5040 Replacement of elbow and shoulder (single operation) 2010-01-20
W5050 Reverse polarity arthroplasty of shoulder 2010-01-20
W5200 Unicompartmental knee replacement - unilateral 2010-01-20
W5201 Unicompartmental Knee Replacement - bilateral 2012-04-04
W5210 Revision of unicompartmental knee replacement - unilateral 2016-03-04
W5300 Bicompartmental knee resurfacing 2013-05-08
W5310 Total prosthetic replacement of wrist joint 2010-01-20
W5502 Interposition arthroplasty of elbow 2010-01-20
W5510 Total prosthetic replacement of elbow 2010-01-20
W5512 Prosthetic replacement of radial head 2010-01-20
W5520 Revisional prosthetic replacement of elbow 2010-01-20
W5540 Debridement of infected total joint replacement 2010-01-20
W5550 Excision of radial head (as sole procedure) 2010-01-20
W5560 OK (Outerbridge and Kashiwagi) procedure 2010-01-20
W5600 Primary repair of rupture of acromioclavicular or sternoclavicular joint +/- internal fixation 2011-11-04
W5630 Secondary repair of acromioclavicular or sternoclavicular joint +/- internal fixation 2010-01-20
W5700 Excision arthroplasty of first metatarsophalangeal joint with prosthetic implantation or interpositional arthroplasty - unilateral 2010-01-20
W5701 Excision arthroplasty of first metatarsophalangeal joint with prosthetic implantation or interpositional arthroplasty - bilateral 2010-01-20
W5710 Excision arthroplasty of first metatarsophalangeal joint (eg Keller, Bonney-Kessel procedures) including cheilectomy - unilateral 2014-06-19
W5722 Excision reconstruction of small joint 2010-01-20
W5723 Excision reconstruction of large joint 2010-01-20
W5780 Excision arthroplasty of first metatarsophalangeal joint (eg Keller, Bonney-Kessel procedures) including cheilectomy - bilateral 2014-06-19
W5800 Conversion of a unicompartmental knee replacement to a total replacement of knee joint 2016-03-04
W5822 Robotic assisted revision of unicompartmental knee replacement - unilateral 2024-02-07
W5830 Robotic assisted knee replacement - unilateral 2016-12-06
W5831 Robotic assisted total knee replacement - bilateral +/- cement, +/- patella 2018-06-14
W5851 Localised patient specific knee resurfacing arthroplasty - unilateral 2018-03-08
W5852 Localised patient specific twin knee resurfacing arthroplasty - unilateral 2018-03-08
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
W6012 <p>Primary arthrodesis of joint +/- graft & +/- internal fixation - shoulder</p> 2011-11-03
W6013 <p>Primary arthrodesis of hip joint +/- graft & +/- internal fixation - hip</p> 2011-11-03
W6014 <p>Primary arthrodesis of knee joint +/- graft & +/- internal fixation</p> 2011-11-03
W6015 Open ankle arthrodesis with internal fixation 2010-01-20
W6016 Open ankle arthrodesis with autogenous graft 2010-01-20
W6017 Arthroscopic ankle arthrodesis with internal fixation 2010-01-20
W6018 Revisional ankle arthrodesis (including conversion from total ankle replacement) 2011-11-04
W6019 Ankle syndesmosis reconstruction 2010-01-20
W6030 Revision or conversion to arthrodesis of shoulder 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
W6522 Primary open reduction of dislocation of small joint 2010-01-20
W6523 Primary open reduction of dislocation of large joint 2010-01-20
W6540 Open reduction of dislocated hip prosthesis 2010-01-20
W6600 Closed reduction of dislocated hip prosthesis 2010-01-20
W6630 Primary closed reduction of fracture or dislocation of joint, +/- fixation (including cast application) 2011-11-04
W6702 Secondary open reduction of dislocation of small joint 2010-01-20
W6703 Secondary open reduction of dislocation of large joint 2010-01-20
W6912 Total synovectomy of small joint 2010-01-20
W6913 Total synovectomy of large joint 2010-01-20
W7400 Reconstruction of one or two ligaments not elsewhere specified 2010-01-20
W7410 Multiple ligament reconstruction of knee 2011-11-04
W7420 Autograft anterior cruciate ligament reconstruction +/- meniscectomy 2014-07-03
W7430 Reconstruction of lateral collateral ligament complex 2010-01-20
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
W7482 Scaphoid lunate ligament reconstruction 2010-01-20
W7483 Triquetrolunate ligament reconstruction 2010-01-20
W7484 Reconstruction of three or more ligaments not elsewhere specified 2010-01-20
W7485 Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) ligament reconstruction 2010-01-20
W7486 Carpo-metacarpal joint ligament reconstruction 2010-01-20
W7492 Lateral release 2013-07-23
W7500 Prosthetic open repair of ligament not elsewhere specified 2010-01-20
W7530 Repair of lateral collateral ligament complex 2010-01-20
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
W7583 Repair of patellar/quadricep tendon 2010-01-20
W7713 Primary stabilisation of multi-directional instability of shoulder joint +/- tendon repair 2010-01-20
W7715 Coracoid bone block transfer for recurrent instability of shoulder (Bristow-Latarjet procedure) 2010-02-23
W7780 Revision stabilisation of shoulder joint 2010-01-20
W7810 Open arthrolysis of shoulder contracture +/- manipulation/injection 2010-01-20
W7850 Open arthrolysis of elbow 2010-01-20
W7860 Arthroscopic arthrolysis of elbow (as sole procedure) 2010-01-20
W7872 Arthroscopic arthrolysis of shoulder contracture +/- manipulation/injection 2012-07-20
W7880 Release of ankle joint contracture (excluding Achilles tendon lengthening) 2010-01-20
W7881 Release of contracture of interphalangeal joint of finger (excluding trigger finger or Dupuytren's disease) 2012-02-27
W7921 Surgical correction of hallux valgus using minimal access techniques- bilateral 2017-12-11
W7922 Surgical correction of hallux valgus using minimal access techniques- unilateral 2017-12-11
W8100 Open excision of calcific deposit (e.g. shoulder, hip) 2010-01-20
W8110 Arthroscopic excision of calcific deposits from shoulder (as sole procedure) 2014-02-07
W8150 Arthrotomy of large joint (including removal of loose body from joint) 2011-11-04
W8180 Arthrotomy of small joint (including removal of loose body from joint) 2011-11-04
W8193 Arthroscopic subacromial decompression 2011-11-15
W8194 Arthroscopic subacromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint) 2014-03-04
W8200 Arthroscopic meniscectomy (including debridement) - unilateral 2010-01-20
W8230 Arthroscopic meniscal repair 2010-01-20
W8250 Partial replacement of the meniscus of the knee using a biodegradable scaffold 2013-05-08
W8280 Arthroscopic meniscectomy (including debridement) - bilateral 2010-01-20
W8300 Therapeutic arthroscopy operation on articular cartilage (other than W8200) - unilateral (as sole procedure) 2010-01-20
W8380 Therapeutic arthroscopy operation on articular cartilage (other than W8200) - bilateral (as sole procedure) 2010-01-20
W8500 Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - unilateral 2014-03-04
W8520 Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure) 2010-01-20
W8580 Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - bilateral 2013-06-07
W8600 Therapeutic arthroscopy operation on cavity of joint (not otherwise specified) (as sole procedure) 2010-01-20
W8602 Therapeutic arthroscopy of wrist joint (as sole procedure) 2010-01-20
W8603 Therapeutic arthroscopy of shoulder (as sole procedure) 2013-03-03
W8620 Therapeutic arthroscopy examination of hip joint, +/- biopsy 2013-09-10
W8646 Multiple arthroscopic operations on ankle (including soft tissue +/- bony +/- joint surface procedures) without ligament reconstruction 2019-07-19
W8650 Therapeutic subtalar arthroscopy (including synovectomy to gain vision) 2011-11-04
W8680 Therapeutic arthroscopy operation on cavity of joint - bilateral (not otherwise specified) (as sole procedure) 2010-01-20
W8700 Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure) 2011-11-03
W8780 Diagnostic arthroscopic examination of joint, +/- biopsy - bilateral (not otherwise specified) (as sole procedure) 2011-11-03
W8782 Flexible arthroscopy, +/- biopsy (as sole procedure) 2010-01-20
W8800 Diagnostic arthroscopic examination of hip joint (as sole procedure, including washout, +/- biopsy) 2011-11-15
W8800 Diagnostic arthroscopic examination of hip joint (as sole procedure, including washout, +/- biopsy) 2011-11-15
W8820 Diagnostic arthroscopic examination of shoulder joint, +/- biopsy (as sole procedure) 2011-11-03
W8830 Diagnostic arthroscopic examination of wrist joint, +/- biopsy (as sole procedure) 2011-11-03
W8840 Diagnostic arthroscopic examination of ankle (as sole procedure, including anterior synovectomy to gain vision) 2011-11-04
W8850 Diagnostic subtalar arthroscopy (as sole procedure, including synovectomy to gain vision) 2011-11-04
W8880 Arthroscopy of elbow (as sole procedure) 2010-01-20
W9020 Dynamic arthrogram of joint 2011-09-23
W9030 Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral 2014-04-08
W9032 Injection of viscosupplement into joint with image guidance - unilateral 2015-04-07
W9033 Injections of viscosupplement into joints with image guidance - bilateral 2015-04-07
W9035 Injections(s) +/- aspiration into two or more joints, cysts, bursae with image guidance - bilateral 2015-04-07
W9040 Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral 2014-06-19
W9040 Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral 2014-06-19
W9042 Injection of viscosupplement into joint - unilateral 2015-04-07
W9043 Injections of viscosupplement into joints - bilateral 2015-04-07
W9045 Injection(s) +/- aspiration, into two or more joints, cysts, bursae - bilateral 2015-04-07
W9050 Shoulder hydrodistension +/- image guidance 2013-07-23
W9111 Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure) - bilateral" 2013-06-04
W9112 Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure)" 2013-06-04
W9240 Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure) 2013-12-04
W9282 Joint fluid examination (e.g. polarising microscopy) performed by consultant (including aspiration of fluid) 2011-11-04
Y3320 Dry needling 2014-04-03

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