W0284: Total excision of trapezium and ligament reconstruction
For guidance only. Always check the code and obtain authorisation from your insurer before treatment. Other insurers may use different codes and coding rules.
For guidance only. Procedure codes and descriptions on this site are provided for general guidance only and are not a guarantee of insurance cover or payment. Always check the correct code with your surgeon's secretary and obtain authorisation from your insurer before treatment. Insurers shown are examples only. Other insurers are available, and each may use the same, similar or different codes and coding rules.
Insurer listing
| Insurer | Status | Notes |
|---|---|---|
| Bupa | Listed | Listed by Bupa |
| AXA Health | Listed | Listed by AXA Health |
| Vitality | Listed | Listed by Vitality |
| WPA | Listed | Listed by WPA |
Codes that can't be billed with W0284
Neither code can be billed with the other
AXA Health also lists these codes as unacceptable combinations (5)
- X4822: Change of cast under general anaesthetic (as sole procedure)
- X4810: Change of cast without general anaesthetic (as sole procedure)
- W0282: Total excision of trapezium
- W0283: Total excision of trapezium with spacer
- W9240: Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)
Related codes
- W0282: Total excision of trapezium
- W0283: Total excision of trapezium with spacer
- W7485: Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) ligament reconstruction
- W7483: Triquetrolunate ligament reconstruction
- W7486: Carpo-metacarpal joint ligament reconstruction
- W7482: Scaphoid lunate ligament reconstruction
Frequently asked questions
What is the procedure code for total excision of trapezium and ligament reconstruction?
The procedure code is W0284: Total excision of trapezium and ligament reconstruction.
Which insurers list W0284?
W0284 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can W0284 be billed with other procedures?
The coding rules say W0284 cannot be billed together with 2 other codes, including W0283 (Total excision of trapezium with spacer), W0282 (Total excision of trapezium). See the full list above.
What does my procedure code mean?
For guidance only. Procedure codes and descriptions on this site are provided for general guidance only and are not a guarantee of insurance cover or payment. Always check the correct code with your surgeon's secretary and obtain authorisation from your insurer before treatment. Insurers shown are examples only. Other insurers are available, and each may use the same, similar or different codes and coding rules.
Codes and descriptions are for guidance only. Insurer listing and cover information is taken from each insurer's published schedule and is for guidance only: always confirm the code and cover with the insurer before treatment. This site is not affiliated with CCSD or any insurer. No fees are shown.
Last checked: 2026-10-01