W0463: Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion)
Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
For guidance only. Always check the code and obtain authorisation from your insurer before treatment. Other insurers may use different codes and coding rules.
Also known as
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 W0463
Neither code can be billed with the other
- T6980: Tenolysis, of flexor tendon (not otherwise specified)
- W0460: Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers)
- W0464: Complex procedure to mid foot and hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers, fixation)
- W1040: Osteotomy of short bone of foot (excluding hallux valgus and including internal fixation)
- W3100: Bone graft (as sole procedure)
- X4810: Change of cast without general anaesthetic (as sole procedure)
- X4822: Change of cast under general anaesthetic (as sole procedure)
- W0462: Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
W0463 can't be billed with
- W0463: Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W9035: Injections(s) +/- aspiration into two or more joints, cysts, bursae with image guidance - bilateral
- W9045: Injection(s) +/- aspiration, into two or more joints, cysts, bursae - bilateral
AXA Health also lists these codes as unacceptable combinations (16)
- T6720: Percutaneous lengthening of Achilles tendon
- W3100: Bone graft (as sole procedure)
- X4822: Change of cast under general anaesthetic (as sole procedure)
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- X4810: Change of cast without general anaesthetic (as sole procedure)
- T6980: Tenolysis, of flexor tendon (not otherwise specified)
- W1040: Osteotomy of short bone of foot (excluding hallux valgus and including internal fixation)
- W9035: Injections(s) +/- aspiration into two or more joints, cysts, bursae with image guidance - bilateral
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- A7350: Local anaesthetic blockade of named major nerve or plexus
- W9045: Injection(s) +/- aspiration, into two or more joints, cysts, bursae - bilateral
- W0860: Metatarsophalangeal cheilectomy (as sole procedure) - unilateral
- W3032: Removal of fixator/frame/pins/wires and change of plaster (as sole procedure)
- W0460: Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers)
- W0464: Complex procedure to mid foot and hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers, fixation)
- W0462: Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
Related codes
- W0460: Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers)
- W0464: Complex procedure to mid foot and hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers, fixation)
- W0462: Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
- W0420: Triple fusion of joints of hindfoot without autogenous graft
- W0422: Triple fusion of joints of hindfoot with autogenous graft
- W0434: Isolated subtalar fusion or midfoot fusion without autogenous graft
Frequently asked questions
What is the procedure code for complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion)?
The procedure code is W0463: Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation).
Which insurers list W0463?
W0463 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can W0463 be billed with other procedures?
The coding rules say W0463 cannot be billed together with 13 other codes, including T6980 (Tenolysis, of flexor tendon (not otherwise specified)), W0460 (Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers)), W0464 (Complex procedure to mid foot and hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers, fixation)). 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