Code Details & Principles for W8194

Code details & principles for

W8194

  • Chapter 16 / Repair / Reconstruction
Code Description Chapter/Sub-Chapter Code Specific Guidance
W8194 Arthroscopic subacromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint) 16.7.2 Repair / Reconstruction

Unacceptable Combinations for W8194

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
T6220 Excision of bursa 2010-01-20
T7910 Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle 2013-06-04
T7915 Arthroscopic rotator cuff repair greater than 2cm 2010-01-20
T7941 Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - first stage 2020-09-18
T7942 Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - second stage 2020-09-18
T7982 Arthroscopic subacromial decompression and rotator cuff repair (including arthroscopic procedures in glenohumeral joint) 2014-08-07
W0890 Excision distal clavicle (as sole procedure) 2011-11-04
W5722 Excision reconstruction of small joint 2010-01-20
W5723 Excision reconstruction of large joint 2010-01-20
W7872 Arthroscopic arthrolysis of shoulder contracture +/- manipulation/injection 2012-07-20
W8100 Open excision of calcific deposit (e.g. shoulder, hip) 2010-01-20
W8110 Arthroscopic excision of calcific deposits from shoulder (as sole procedure) 2014-02-07
W8193 Arthroscopic subacromial decompression 2011-11-15
W8600 Therapeutic arthroscopy operation on cavity of joint (not otherwise specified) (as sole procedure) 2010-01-20
W8603 Therapeutic arthroscopy of shoulder (as sole procedure) 2013-03-03
W8700 Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure) 2011-11-03
W8820 Diagnostic arthroscopic examination of shoulder joint, +/- biopsy (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
W9111 Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure) - bilateral" 2013-06-04
W9112 Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure)" 2013-06-04

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