Code Details & Principles for W9035
Code details & principles for
W9035
- Chapter 16 / Joints, including Replacement/Reconstruction (Not listed elsewhere)
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| W9035 | Injections(s) +/- aspiration into two or more joints, cysts, bursae with image guidance - bilateral | 16.5.0 Joints, including Replacement/Reconstruction (Not listed elsewhere) | If you are carrying out separate procedures on different areas of the body, the unacceptable combination principles may not be applicable. When contacting an insurer, please make it clear which areas of the body are being treated so that these can be reviewed appropriately. Replace W9031 – see also W9030, W9032 & W9033 |
Unacceptable Combinations for W9035
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| 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 |
| W0464 | Complex procedure to mid foot and hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers, fixation) | 2010-01-20 |
| W9030 | Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral | 2014-04-08 |
| W9032 | Injection of viscosupplement into joint with image guidance - unilateral | 2015-04-07 |
| W9033 | Injections of viscosupplement into joints with image guidance - bilateral | 2015-04-07 |
| W9040 | Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral | 2014-06-19 |
| W9042 | Injection of viscosupplement into joint - unilateral | 2015-04-07 |
| W9043 | Injections of viscosupplement into joints - bilateral | 2015-04-07 |
| W9045 | Injection(s) +/- aspiration, into two or more joints, cysts, bursae - bilateral | 2015-04-07 |
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