Code Details & Principles for W4218

Code details & principles for

W4218

  • Chapter 16 / Repair / Reconstruction
Code Description Chapter/Sub-Chapter Code Specific Guidance
W4218 Customised total prosthetic replacement of knee joint 16.10.2 Repair / Reconstruction

Unacceptable Combinations for W4218

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Code Added
S4230 Secondary suture of skin Pre 2025
W0630 Patellectomy Pre 2025
W0633 Prosthetic replacement of patellofemoral joint - bilateral (as sole procedure) Pre 2025
W3100 Bone graft (as sole procedure) Pre 2025
W3530 Removal of percutaneous wire 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
W4214 Customised unicompartmental knee replacement Pre 2025
W4216 Customised bicompartmental knee replacement Pre 2025
W4230 Revision of total replacement of knee joint Pre 2025
W4231 Robotic assisted revision of total knee replacement - unilateral Pre 2025
W4240 2 stage revision of total knee replacement for infection - first stage Pre 2025
W4242 2 stage revision of total knee replacement for infection - second stage Pre 2025
W4244 Tibial liner exchange in total knee replacement Pre 2025
W5200 Unicompartmental knee replacement - unilateral Pre 2025
W5201 Unicompartmental Knee Replacement - bilateral Pre 2025
W5210 Revision of unicompartmental knee replacement - unilateral Pre 2025
W5300 Bicompartmental knee resurfacing Pre 2025
W5800 Conversion of a unicompartmental knee replacement to a total replacement of knee joint Pre 2025
W5822 Robotic assisted revision of unicompartmental knee replacement - unilateral Pre 2025
W5830 Robotic assisted knee replacement - unilateral Pre 2025
W5831 Robotic assisted total knee replacement - bilateral +/- cement, +/- patella Pre 2025
W5851 Localised patient specific knee resurfacing arthroplasty - unilateral Pre 2025
W5852 Localised patient specific twin knee resurfacing arthroplasty - unilateral Pre 2025
W7580 Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (adult) Pre 2025
W8500 Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - unilateral Pre 2025
W8580 Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - bilateral Pre 2025
W8700 Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (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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