Shoulder

  • Tenodesis of Biceps Tendon (as Sole Procedure)
  • Open Sub Acromial Decompression and Rotator Cuff Repair +/- Excision of Distal Clavicle
  • Arthroscopic Rotator Cuff Repair Greater than 2cm
  • Extensive, Greater than 2cm Tear Repair of Large Muscle Including Arthroscopic (Excluding Rotator Cuff)
  • Arthroscopic Subacromial Decompression and Rotator Cuff Repair (Including Arthroscopic Procedures in Glenohumeral Joint)
  • Open Sub Acromial Decompression and Rotator Cuff Repair
  • Revision of Open or Arthroscopic Rotator Cuff Repair +/- Decompression
  • Total Excision of Cervical Rib
  • Excision Distal Clavicle, as Sole Procedure
  • Repair of Non-Union of Clavicle
  • Shoulder Hemiarthroplasty, as Sole Procedure
  • Shoulder Hemiarthroplasty with Reconstruction for Fracture
  • Conversion of Hemiarthroplasty to Total Shoulder Replacement
  • Revisional Shoulder Hemiarthroplasty
  • Scapulo-Thoracic Fusion
  • Primary Total Shoulder Replacement
  • Revision Total Shoulder Replacement
  • Reverse Polarity Arthroplasty of Shoulder
  • Resurfacing arthroplasty of shoulder
  • Primary Repair of Rupture of Acromioclavicular or Sternoclavicular Joint +/- Internal Fixation
  • Open Arthrolysis of Shoulder Contracture +/- Manipulation/Injection
  • Secondary Repair of Acromioclavicular or Sternoclavicular Joint +/- Internal Fixation
  • Primary Arthrodesis of Joint +/- Graft & +/- Internal Fixation – Shoulder
  • Revision or Conversion to Arthrodesis of Shoulder
  • Stabilisation of unidirectional instability of shoulder joint, including anterior, posterior and arthroscopic
  • Primary Stabilisation of Multi-Directional Instability of Shoulder Joint +/- Tendon Repair
  • Primary Open or Arthroscopic Shoulder Stabilisation Procedure (Including Labral/SLAP/Tendon Repair)
  • Coracoid Bone Block Transfer for Recurrent Instability of Shoulder (Bristow-Latarjet Procedure)
  • Labral Repair (shoulder stabilisation)
  • Revision Stabilisation of Shoulder Joint

Elbow

  • Cubital Tunnel Release (Open) (without Transposition)
  • Cubital Tunnel Release (Open) Bilateral (without Transposition)
  • Neurolysis and Transposition of Peripheral Nerve (Excludes Carpal Tunnel Release)
  • Tendon Graft, or Tendon Transfer, as Sole Procedure (not Otherwise Specified)
  • Delayed or Secondary Repair of Tendon (Including Graft, Transfer and/or Prosthesis) (not Otherwise Specified)
  • Tenolysis, of Extensor (not Otherwise Specified)
  • Tenolysis, of Flexor Tendon (not Otherwise Specified)
  • Lengthening of Tendon(s) or Open Tenotomy
  • Tenosynovectomy
  • Major Release of Muscle for Pain or Contracture (e.g. Quadriceps) (Involving Large Joint)
  • Radical Clearance of Benign Bone Tumour with Reconstruction +/- Insertion of Prosthesis
  • Secondary Open Reduction of Fractured Long Bone-and Intramedullary Fixation or Internal Fixation for Non-Union/Mal Union – Including Intra-Articular (Including Bone Graft)
  • Locked Intramedullary Nailing of Fractured Long Bone
  • Closed Reduction of Fracture of Long Bone with External Fixation (Excluding Fixation by Cast or Percutaneous K-Wires)
  • Closed Reduction of Fracture of Long Bone, Including Cast or Percutaneous K-Wires
  • Removal of Internal Fixation from Bone/Joint, Excluding K-Wires +/- image guidance
  • Adjustments to IIizarov Frame/Rings
  • Removal of Fixator/Frame/Pins/Wires and Change of Plaster (as sole procedure)
  • Application of IIizarov Frame for Secondary Non-Union / Mal-Union Including Osteotomy
  • Adjustments to Pin Sites Secondary for Non-Union / Mal-Union
  • Bone Graft (as Sole Procedure)
  • Removal of Percutaneous Wire
  • Excision Reconstruction of Large Joint
  • Primary Open Reduction of Dislocation of Large Joint
  • Change of Cast under General Anaesthetic (as sole procedure)
  • Primary Open Reduction of Intra-Articular Fracture of Long Bone with Internal Fixation, e.g. Proximal Humerus or Proximal Tibia (+/- Arthroscopic Assistance)
  • Secondary Open Reduction of Dislocation of Large Joint
  • Total Synovectomy of Large Joint
  • Reconstruction of One or Two Ligaments not Elsewhere Specified
  • Prosthetic open repair of ligament not elsewhere specified
  • Open Excision of Calcific Deposit (e.g. Shoulder, Hip)
  • Arthrotomy of Large Joint, Including Removal of Loose Body from Joint
  • Therapeutic arthroscopy operation on articular cartilage (other than W8200) – unilateral (as sole procedure)
  • Therapeutic Arthroscopy Operation on Cavity of Joint (not Otherwise Specified) (as Sole Procedure)
  • Therapeutic Arthroscopy Operation on Cavity of Joint – Bilateral (not Otherwise Specified) (as Sole Procedure)
  • Diagnostic Arthroscopic Examination of Joint, +/- Biopsy (not Otherwise Specified) (as Sole Procedure)
  • Diagnostic Arthroscopic Examination of Joint, +/- Biopsy (not Otherwise Specified) (as Sole Procedure)
  • Change of Cast without General Anaesthetic (as sole procedure)
  • Primary Open Reduction of Long Bone with Fixation

Wrist & Hand

  • Diagnostic aspiration of cysts, joints, cavities
  • Excision reconstruction of joint
  • Manipulation of joint
  • Carpal Tunnel Release (Open)
  • Carpal Tunnel Release (Open) – Bilateral

  • Cubital Tunnel Release (Open) Bilateral (without Transposition)

  • Secondary Suture of Skin
  • Injection into Subcutaneous Tissue/Painful Trigger Point under Local Anaesthetic
  • Debridement of Wound (and Surgical Toilet) – up to 25cm2 in Area
  • Dupuytren’s Fasciectomy Palm Only
  • Dupuytren’s Fasciectomy Single Digit with Proximal Interphalangeal Joint
  • Tenolysis, of Extensor
  • Tenolysis of Extensor Tendon of Hand
  • Percutaneous Tenotomy
  • Lengthening of Tendon(s) or Open Tenotomy
  • Tenosynovectomy
  • Release of Constriction of Sheath of Tendon (e.g. Trigger Finger)
  • Trigger Point Injection/Enthesis – 1 Injection
  • Extensive, Greater than 2cm Tear Repair of Large Muscle Including Arthroscopic (Excluding Rotator Cuff)
  • Minor Release of Muscle for Pain or Contracture (Involving Small Joint)
  • Soft tissue procedures on joints of hand
  • Total Excision of Trapezium
  • Total Excision of Trapezium with Spacer
  • Total Excision of Trapezium and Ligament Reconstruction
  • W0640 – Total Excision of Sesamoid Bone
  • Excision of Ectopic Bone
  • Partial Excision of Bone (Including Exostoses)
  • Osteotomy of Long Bone, +/- Fixation (Including Graft)
  • Osteotomy of Short Bone of Hand (Including Fixation and Bone Grafting)
  • Drainage/Debridement of Bone(s), Including Sequestrectomy for Osteomyelitis
  • Removal of Fixator/Frame/Pins/Wires and Change of Plaster (as sole procedure)
  • Bone Graft (as Sole Procedure)
  • Removal of Percutaneous Wire
  • Dupuytren’s Fasciectomy Multiple Digits with Proximal Interphalangeal Joints
  • Dupuytren’s Dermofasciectomy and Graft, or for Recurrent Disease – Single Digit
  • Dupuytren’s Dermofasciectomy and Graft, or for Recurrent Disease – Multiple Digits
  • Dupuytren’s Subcutaneous Fasciotomy
  • Excision of Ganglion
  • Excision of Bursa
  • Primary Repair of Flexor of Hand (Excluding Zone II)
  • Open Bone Biopsy as Sole Procedure
  • Needle Biopsy of Bone as Sole Procedure
  • Debridement of Infected Total Joint Replacement
  • Excision Reconstruction of Small Joint
  • Fusion of Digit Joint(s) of Hand +/- Graft & +/- Internal Fixation
  • Primary Open Reduction of Dislocation of Small Joint
  • Primary Closed Reduction of Fracture or Dislocation of Joint, +/- Fixation (Including Cast Application)
  • Needle Biopsy of Synovium
  • Reconstruction of Three or more Ligaments not Elsewhere Specified
  • Lateral release
  • Release of contracture of joint
  • Release of Contracture of Interphalangeal Joint of Finger (Excluding Trigger Finger or Dupuytren’s Disease)
  • Arthrotomy of Small Joint, Including Removal of Loose Body from Joint
  • Therapeutic Local Anaesthetic/Aspiration- Small Joint – Single
  • Therapeutic Local Anaesthetic/Aspiration- Small Joint – more than 1 Joint
  • Therapeutic Local Anaesthetic/Aspiration of Joint under Imaging Control
  • Injection(s), +/- Aspiration, into Joint(s), Cyst, Bursa with Image Guidance
  • Injection(s), +/- Aspiration, into Joint, Cyst, Bursa
  • Examination/Manipulation of Joint under General Anaesthetic +/- Injection +/- Arthrogram (as Sole Procedure)
  • Partial Amputation of Digit
  • Amputation of Whole Ray
  • Release of Joined/Fused Digit(s)
  • Excision or partial excision of interphalangeal joint of lesser toe with tendon transfer
  • Tendon Graft, or Tendon Transfer, as Sole Procedure (not Otherwise Specified)
  • Primary Repair of Extensor of Hand
  • Delayed or Secondary Repair of Tendon (Including Graft, Transfer and/or Prosthesis) (not Otherwise Specified)

Shoulder

Shoulder

  • Tenodesis of Biceps Tendon (as Sole Procedure)
  • Open Sub Acromial Decompression and Rotator Cuff Repair +/- Excision of Distal Clavicle
  • Arthroscopic Rotator Cuff Repair Greater than 2cm
  • Extensive, Greater than 2cm Tear Repair of Large Muscle Including Arthroscopic (Excluding Rotator Cuff)
  • Arthroscopic Subacromial Decompression and Rotator Cuff Repair (Including Arthroscopic Procedures in Glenohumeral Joint)
  • Open Sub Acromial Decompression and Rotator Cuff Repair
  • Revision of Open or Arthroscopic Rotator Cuff Repair +/- Decompression
  • Total Excision of Cervical Rib
  • Excision Distal Clavicle, as Sole Procedure
  • Repair of Non-Union of Clavicle
  • Shoulder Hemiarthroplasty, as Sole Procedure
  • Shoulder Hemiarthroplasty with Reconstruction for Fracture
  • Conversion of Hemiarthroplasty to Total Shoulder Replacement
  • Revisional Shoulder Hemiarthroplasty
  • Scapulo-Thoracic Fusion
  • Primary Total Shoulder Replacement
  • Revision Total Shoulder Replacement
  • Reverse Polarity Arthroplasty of Shoulder
  • Resurfacing arthroplasty of shoulder
  • Primary Repair of Rupture of Acromioclavicular or Sternoclavicular Joint +/- Internal Fixation
  • Open Arthrolysis of Shoulder Contracture +/- Manipulation/Injection
  • Secondary Repair of Acromioclavicular or Sternoclavicular Joint +/- Internal Fixation
  • Primary Arthrodesis of Joint +/- Graft & +/- Internal Fixation – Shoulder
  • Revision or Conversion to Arthrodesis of Shoulder
  • Stabilisation of unidirectional instability of shoulder joint, including anterior, posterior and arthroscopic
  • Primary Stabilisation of Multi-Directional Instability of Shoulder Joint +/- Tendon Repair
  • Primary Open or Arthroscopic Shoulder Stabilisation Procedure (Including Labral/SLAP/Tendon Repair)
  • Coracoid Bone Block Transfer for Recurrent Instability of Shoulder (Bristow-Latarjet Procedure)
  • Labral Repair (shoulder stabilisation)
  • Revision Stabilisation of Shoulder Joint

Elbow

  • Cubital Tunnel Release (Open) (without Transposition)
  • Cubital Tunnel Release (Open) Bilateral (without Transposition)
  • Neurolysis and Transposition of Peripheral Nerve (Excludes Carpal Tunnel Release)
  • Tendon Graft, or Tendon Transfer, as Sole Procedure (not Otherwise Specified)
  • Delayed or Secondary Repair of Tendon (Including Graft, Transfer and/or Prosthesis) (not Otherwise Specified)
  • Tenolysis, of Extensor (not Otherwise Specified)
  • Tenolysis, of Flexor Tendon (not Otherwise Specified)
  • Lengthening of Tendon(s) or Open Tenotomy
  • Tenosynovectomy
  • Major Release of Muscle for Pain or Contracture (e.g. Quadriceps) (Involving Large Joint)
  • Radical Clearance of Benign Bone Tumour with Reconstruction +/- Insertion of Prosthesis
  • Primary Open Reduction of Long Bone with Fixation
  • Primary Open Reduction of Intra-Articular Fracture of Long Bone with Internal Fixation, e.g. Proximal Humerus or Proximal Tibia (+/- Arthroscopic Assistance)
  • Secondary Open Reduction of Fractured Long Bone-and Intramedullary Fixation or Internal Fixation for Non-Union/Mal Union – Including Intra-Articular (Including Bone Graft)
  • Locked Intramedullary Nailing of Fractured Long Bone
  • Closed Reduction of Fracture of Long Bone with External Fixation (Excluding Fixation by Cast or Percutaneous K-Wires)
  • Closed Reduction of Fracture of Long Bone, Including Cast or Percutaneous K-Wires
  • Removal of Internal Fixation from Bone/Joint, Excluding K-Wires +/- image guidance
  • Adjustments to IIizarov Frame/Rings
  • Removal of Fixator/Frame/Pins/Wires and Change of Plaster (as sole procedure)
  • Application of IIizarov Frame for Secondary Non-Union / Mal-Union Including Osteotomy
  • Adjustments to Pin Sites Secondary for Non-Union / Mal-Union
  • Bone Graft (as Sole Procedure)
  • Removal of Percutaneous Wire
  • Excision Reconstruction of Large Joint
  • Primary Open Reduction of Dislocation of Large Joint
  • Secondary Open Reduction of Dislocation of Large Joint
  • Total Synovectomy of Large Joint
  • Reconstruction of One or Two Ligaments not Elsewhere Specified
  • Prosthetic open repair of ligament not elsewhere specified
  • Open Excision of Calcific Deposit (e.g. Shoulder, Hip)
  • Arthrotomy of Large Joint, Including Removal of Loose Body from Joint
  • Therapeutic arthroscopy operation on articular cartilage (other than W8200) – unilateral (as sole procedure)
  • Therapeutic Arthroscopy Operation on Cavity of Joint (not Otherwise Specified) (as Sole Procedure)
  • Therapeutic Arthroscopy Operation on Cavity of Joint – Bilateral (not Otherwise Specified) (as Sole Procedure)
  • Diagnostic Arthroscopic Examination of Joint, +/- Biopsy (not Otherwise Specified) (as Sole Procedure)
  • Diagnostic Arthroscopic Examination of Joint, +/- Biopsy (not Otherwise Specified) (as Sole Procedure)
  • Change of Cast without General Anaesthetic (as sole procedure)
  • Change of Cast under General Anaesthetic (as sole procedure)

Wrist & Hand

Wrist & Hand

  • Diagnostic aspiration of cysts, joints, cavities
  • Excision reconstruction of joint
  • Manipulation of joint
  • Carpal Tunnel Release (Open)
  • Carpal Tunnel Release (Open) – Bilateral

  • Cubital Tunnel Release (Open) Bilateral (without Transposition)

  • Secondary Suture of Skin
  • Injection into Subcutaneous Tissue/Painful Trigger Point under Local Anaesthetic
  • Debridement of Wound (and Surgical Toilet) – up to 25cm2 in Area
  • Dupuytren’s Fasciectomy Palm Only
  • Dupuytren’s Fasciectomy Single Digit with Proximal Interphalangeal Joint
  • Dupuytren’s Fasciectomy Multiple Digits with Proximal Interphalangeal Joints
  • Dupuytren’s Dermofasciectomy and Graft, or for Recurrent Disease – Single Digit
  • Dupuytren’s Dermofasciectomy and Graft, or for Recurrent Disease – Multiple Digits
  • Dupuytren’s Subcutaneous Fasciotomy
  • Excision of Ganglion
  • Excision of Bursa
  • Excision or partial excision of interphalangeal joint of lesser toe with tendon transfer
  • Tendon Graft, or Tendon Transfer, as Sole Procedure (not Otherwise Specified)
  • Primary Repair of Extensor of Hand
  • Primary Repair of Flexor of Hand (Excluding Zone II)
  • Delayed or Secondary Repair of Tendon (Including Graft, Transfer and/or Prosthesis) (not Otherwise Specified)
  • Tenolysis, of Extensor
  • Tenolysis of Extensor Tendon of Hand
  • Percutaneous Tenotomy
  • Lengthening of Tendon(s) or Open Tenotomy
  • Tenosynovectomy
  • Release of Constriction of Sheath of Tendon (e.g. Trigger Finger)
  • Trigger Point Injection/Enthesis – 1 Injection
  • Extensive, Greater than 2cm Tear Repair of Large Muscle Including Arthroscopic (Excluding Rotator Cuff)
  • Minor Release of Muscle for Pain or Contracture (Involving Small Joint)
  • Soft tissue procedures on joints of hand
  • Total Excision of Trapezium
  • Total Excision of Trapezium with Spacer
  • Total Excision of Trapezium and Ligament Reconstruction
  • W0640 – Total Excision of Sesamoid Bone
  • Excision of Ectopic Bone
  • Partial Excision of Bone (Including Exostoses)
  • Osteotomy of Long Bone, +/- Fixation (Including Graft)
  • Osteotomy of Short Bone of Hand (Including Fixation and Bone Grafting)
  • Drainage/Debridement of Bone(s), Including Sequestrectomy for Osteomyelitis
  • Removal of Fixator/Frame/Pins/Wires and Change of Plaster (as sole procedure)
  • Bone Graft (as Sole Procedure)
  • Removal of Percutaneous Wire
  • Open Bone Biopsy as Sole Procedure
  • Needle Biopsy of Bone as Sole Procedure
  • Debridement of Infected Total Joint Replacement
  • Excision Reconstruction of Small Joint
  • Fusion of Digit Joint(s) of Hand +/- Graft & +/- Internal Fixation
  • Primary Open Reduction of Dislocation of Small Joint
  • Primary Closed Reduction of Fracture or Dislocation of Joint, +/- Fixation (Including Cast Application)
  • Needle Biopsy of Synovium
  • Reconstruction of Three or more Ligaments not Elsewhere Specified
  • Lateral release
  • Release of contracture of joint
  • Release of Contracture of Interphalangeal Joint of Finger (Excluding Trigger Finger or Dupuytren’s Disease)
  • Arthrotomy of Small Joint, Including Removal of Loose Body from Joint
  • Therapeutic Local Anaesthetic/Aspiration- Small Joint – Single
  • Therapeutic Local Anaesthetic/Aspiration- Small Joint – more than 1 Joint
  • Therapeutic Local Anaesthetic/Aspiration of Joint under Imaging Control
  • Injection(s), +/- Aspiration, into Joint(s), Cyst, Bursa with Image Guidance
  • Injection(s), +/- Aspiration, into Joint, Cyst, Bursa
  • Examination/Manipulation of Joint under General Anaesthetic +/- Injection +/- Arthrogram (as Sole Procedure)
  • Partial Amputation of Digit
  • Amputation of Whole Ray
  • Release of Joined/Fused Digit(s)