Code Details & Principles for W4900
Code details & principles for
W4900
- Chapter 16 / Repair / Reconstruction
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| W4900 | Shoulder hemiarthroplasty (as sole procedure) | 16.7.2 Repair / Reconstruction |
Unacceptable Combinations for W4900
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| 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 |
| W8700 | Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure) | 2011-11-03 |
| 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 |
| 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 |
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