Code Details & Principles for W9240
Code details & principles for
W9240
- Chapter 16 / Joints, including Replacement/Reconstruction (Not listed elsewhere)
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| W9240 | Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure) | 16.5.0 Joints, including Replacement/Reconstruction (Not listed elsewhere) |
Unacceptable Combinations for W9240
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| AC100 | Local anaesthetic by main operator | 2013-08-20 |
| T6213 | Soft tissue operations in the region of the greater trochanter (trochanteric bursitis, snapping hip) | 2010-01-20 |
| T6782 | Repair of distal biceps tendon | 2010-01-20 |
| T7930 | Repair of abductor mechanism of hip | 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 |
| 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 |
| W0630 | Patellectomy | 2010-01-20 |
| W1320 | Osteotomy of proximal femur | 2010-01-20 |
| W1590 | Correction of retracted/dislocated metatarsophalangeal joint (including tendon transfer, division/realignment of bone and internal fixation) | 2011-11-15 |
| W1640 | Simple pelvic osteotomy and fixation, e.g. Salter or Chiari osteotomies | 2010-01-20 |
| W1648 | Osteotomy/transfer of greater trochanter (as sole procedure) | 2011-11-04 |
| W1649 | Complex pelvic osteotomies and fixation, e.g. triple osteotomy, peri-acetabular osteotomy | 2010-01-20 |
| W1660 | Tibial osteotomy | 2010-01-20 |
| W1912 | Pinning of head of femur - open or percutaneous (e.g. slipped femoral epiphysis, undisplaced neck fracture) | 2010-01-20 |
| W1913 | Pinning for bilateral slipped upper femoral epiphysis | 2010-01-20 |
| W3090 | Core decompression of knee | 2010-01-20 |
| 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 |
| 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 |
| 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 |
| 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 |
| W5201 | Unicompartmental Knee Replacement - bilateral | 2012-04-04 |
| W5502 | Interposition arthroplasty of elbow | 2010-01-20 |
| W5512 | Prosthetic replacement of radial head | 2010-01-20 |
| W5520 | Revisional prosthetic replacement of elbow | 2010-01-20 |
| W5550 | Excision of radial head (as sole procedure) | 2010-01-20 |
| W5560 | OK (Outerbridge and Kashiwagi) procedure | 2010-01-20 |
| W5722 | Excision reconstruction of small joint | 2010-01-20 |
| W5723 | Excision reconstruction of large joint | 2010-01-20 |
| 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 |
| 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 |
| W6030 | Revision or conversion to arthrodesis of shoulder | 2010-01-20 |
| W7420 | Autograft anterior cruciate ligament reconstruction +/- meniscectomy | 2014-07-03 |
| W7440 | Allograft anterior cruciate ligament reconstruction +/- meniscectomy | 2013-01-12 |
| W7492 | Lateral release | 2013-07-23 |
| W7850 | Open arthrolysis of elbow | 2010-01-20 |
| W8180 | Arthrotomy of small joint (including removal of loose body from joint) | 2011-11-04 |
| W8193 | Arthroscopic subacromial decompression | 2011-11-15 |
| W8200 | Arthroscopic meniscectomy (including debridement) - unilateral | 2010-01-20 |
| W8230 | Arthroscopic meniscal repair | 2010-01-20 |
| 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 |
| 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 |
| W9020 | Dynamic arthrogram of joint | 2011-09-23 |
| W9030 | Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral | 2014-04-08 |
| W9040 | Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral | 2014-06-19 |
| 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 |
| W9282 | Joint fluid examination (e.g. polarising microscopy) performed by consultant (including aspiration of fluid) | 2011-11-04 |
| 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 |
| X2262 | <p>Complex open reduction for congenital dislocation of hip (i.e. pelvic & femoral or Pemberton osteotomy or revision of open reduction)</p> | 2010-01-20 |
| X2280 | Manipulation of hip and casting (as sole procedure) | 2010-01-20 |
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