Code Details & Principles for W7420
Code details & principles for
W7420
- Chapter 16 / Repair / Reconstruction
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| W7420 | Autograft anterior cruciate ligament reconstruction +/- meniscectomy | 16.10.2 Repair / Reconstruction |
Unacceptable Combinations for W7420
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| A6110 | Excision of lesion of peripheral nerve (e.g. neurilemma) | 2010-01-20 |
| A6600 | Release of entrapment of deeply placed peripheral nerve | 2010-01-20 |
| S4230 | Secondary suture of skin | 2010-01-20 |
| T5900 | Excision of ganglion | 2010-01-20 |
| T6220 | Excision of bursa | 2010-01-20 |
| T6520 | Tendon sheath injection of therapeutic substance including Viscosupplement +/- image guidance | 2010-01-20 |
| T6580 | Tendon graft, or tendon transfer (as sole procedure, not otherwise specified) | 2011-11-04 |
| T6800 | Delayed or secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified) | 2014-08-06 |
| T6910 | Tenolysis, of extensor (not otherwise specified) | 2010-01-20 |
| T7050 | Lengthening of tendon(s) or open tenotomy | 2013-06-04 |
| T7110 | Tenosynovectomy | 2013-06-04 |
| T7290 | Trigger point injection/Enthesis - 1 injection | 2010-01-20 |
| T8003 | Major release of muscle for pain or contracture (e.g. Quadriceps) (involving large joint) | 2010-01-20 |
| W0700 | Excision of ectopic bone | 2010-01-20 |
| W0850 | Partial excision of bone (including exostoses) | 2012-04-04 |
| W1080 | Osteotomy of long bone, +/- fixation (including graft) | 2011-11-04 |
| W2830 | Removal of internal fixation from bone / joint, excluding K-wires +/- image guidance | 2010-01-20 |
| W3123 | Implantation of autologous chondrocytes into knee (including knee surgery, debridement and periosteal flap or membrane cover) | 2012-02-03 |
| W3530 | Removal of percutaneous wire | 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 |
| 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 |
| 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 |
| W8100 | Open excision of calcific deposit (e.g. shoulder, hip) | 2010-01-20 |
| W8200 | Arthroscopic meniscectomy (including debridement) - unilateral | 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 |
| 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 |
| 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 |
| 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 |
| W9240 | Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure) | 2013-12-04 |
| X3770 | Intramuscular injection(s) with x-ray control (e.g. piriformis block) | 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