Code Details & Principles for W5722

Code details & principles for

W5722

  • Chapter 16 / Joints, including Replacement/Reconstruction (Not listed elsewhere)
Code Description Chapter/Sub-Chapter Code Specific Guidance
W5722 Excision reconstruction of small joint 16.5.0 Joints, including Replacement/Reconstruction (Not listed elsewhere)

Unacceptable Combinations for W5722

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Code Added
S4230 Secondary suture of skin Pre 2025
T7910 Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle Pre 2025
W3712 Primary total hip replacement +/- cement Pre 2025
W3713 Complex primary total hip replacement (including bone grafting or femoral osteotomy) Pre 2025
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) Pre 2025
W3720 Robotic assisted total hip replacement - unilateral +/- cement Pre 2025
W3721 Robotic assisted total hip replacement - bilateral +/- cement Pre 2025
W3732 Revision of uncemented or cemented total hip replacement without adjunctive procedures - unilateral Pre 2025
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 Pre 2025
W3744 Robotic assisted revision of total hip replacement - unilateral Pre 2025
W3745 Robotic assisted revision of total hip replacement (inclduing insertion of reconstruction rings, plates, screws +/- impaction bonegrafting to acetabulum +/- femur) - unilateral Pre 2025
W3751 Customised unilateral hip replacement Pre 2025
W3943 Removal of total hip replacement and complete clearance of cement Pre 2025
W3944 Acetabular liner and head changes Pre 2025
W4200 Complex primary total knee replacement (i.e. including bone graft, augmentation or osteotomy) Pre 2025
W4210 Total prosthetic replacement of knee joint +/- cement +/- patella resurfacing - unilateral Pre 2025
W4244 Tibial liner exchange in total knee replacement Pre 2025
W5201 Unicompartmental Knee Replacement - bilateral Pre 2025
W5800 Conversion of a unicompartmental knee replacement to a total replacement of knee joint Pre 2025
W5830 Robotic assisted knee replacement - unilateral Pre 2025
W5831 Robotic assisted total knee replacement - bilateral +/- cement, +/- patella Pre 2025
W8194 Arthroscopic subacromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint) Pre 2025
W8782 Flexible arthroscopy, +/- biopsy (as sole procedure) Pre 2025
W9020 Dynamic arthrogram of joint Pre 2025
W9040 Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral Pre 2025
W9240 Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure) Pre 2025

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
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