Code Details & Principles for W0463

Code details & principles for

W0463

  • Chapter 16 / Hind Foot and Mid Foot
Code Description Chapter/Sub-Chapter Code Specific Guidance
W0463 Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation) 16.11.2 Hind Foot and Mid Foot

Unacceptable Combinations for W0463

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
T6980 Tenolysis, of flexor tendon (not otherwise specified) 2013-06-04
W0460 Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers) 2013-03-03
W0462 Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation) 2010-01-20
W0463 Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation) 2010-01-20
W0463 Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation) 2010-01-20
W0464 Complex procedure to mid foot and hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers, fixation) 2010-01-20
W1040 Osteotomy of short bone of foot (excluding hallux valgus and including internal fixation) 2011-07-14
W3100 Bone graft (as sole procedure) 2012-04-04
W9030 Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral 2014-04-08
W9035 Injections(s) +/- aspiration into two or more joints, cysts, bursae with image guidance - bilateral 2015-04-07
W9040 Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral 2014-06-19
W9045 Injection(s) +/- aspiration, into two or more joints, cysts, bursae - bilateral 2015-04-07
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