Code Details & Principles for W5940

Code details & principles for

W5940

  • Chapter 16 / Toes
Code Description Chapter/Sub-Chapter Code Specific Guidance
W5940 Fusion of interphalangeal joint(s) of toe (including internal fixation) - unilateral 16.11.5 Toes

Unacceptable Combinations for W5940

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
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
W0330 Fusion of first metatarsophalangeal joint - unilateral 2010-01-20
W0881 Excision of joint of toe with release of contracture and soft tissue correction 2010-01-20
W5980 Fusion of interphalangeal joint(s) of toe (including internal fixation) - bilateral 2010-01-20
W9020 Dynamic arthrogram of joint 2011-09-23
W9040 Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral 2014-06-19
X4810 Change of cast without general anaesthetic (as sole procedure) 2012-01-06
X4822 Change of cast under general anaesthetic (as sole procedure) 2012-01-06

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