Code Details & Principles for W5000
Code details & principles for
W5000
- Chapter 16 / Repair / Reconstruction
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| W5000 | Primary total shoulder replacement | 16.7.2 Repair / Reconstruction |
Unacceptable Combinations for W5000
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| A6600 | Release of entrapment of deeply placed peripheral nerve | 2010-01-20 |
| W4920 | Conversion of hemiarthroplasty to total shoulder replacement | 2010-01-20 |
| W5030 | Revision total shoulder replacement | 2010-01-20 |
| W5040 | Replacement of elbow and shoulder (single operation) | 2010-01-20 |
| W9020 | Dynamic arthrogram of joint | 2011-09-23 |
| W9040 | Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral | 2014-06-19 |
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