W0516: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints - single digit
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 | Not listed | Not on the Bupa procedure list |
| AXA Health | Listed | Listed by AXA Health |
| Vitality | Listed | Listed by Vitality |
| WPA | Listed | Listed by WPA |
Codes that can't be billed with W0516
Neither code can be billed with the other
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W0515: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) or proximal interphalangeal (PIP) joints - multiple digits
- W0512: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) or proximal interphalangeal (PIP) joint - single digit
- W0513: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints - multiple digits
- W0514: Prosthetic surface arthroplasty of interphalangeal/ metacarpo-phalangeal joint - single joint (both cemented and uncemented)
AXA Health also lists these codes as unacceptable combinations (5)
- W0513: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints - multiple digits
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W0515: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) or proximal interphalangeal (PIP) joints - multiple digits
- W0514: Prosthetic surface arthroplasty of interphalangeal/ metacarpo-phalangeal joint - single joint (both cemented and uncemented)
- W0512: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) or proximal interphalangeal (PIP) joint - single digit
Related codes
- W0512: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) or proximal interphalangeal (PIP) joint - single digit
- W0515: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) or proximal interphalangeal (PIP) joints - multiple digits
- W0513: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints - multiple digits
- T5203: Dupuytren's fasciectomy single digit with proximal interphalangeal joint
- W0514: Prosthetic surface arthroplasty of interphalangeal/ metacarpo-phalangeal joint - single joint (both cemented and uncemented)
- T5210: Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints
Frequently asked questions
What is the procedure code for interpositional silastic arthroplasty of metacarpophalangeal (mcp) and proximal interphalangeal (pip) joints - single digit?
The procedure code is W0516: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints - single digit.
Which insurers list W0516?
W0516 is listed by AXA Health, Vitality and WPA. It is not on the Bupa procedure list. Always confirm the code and cover with your insurer.
Can W0516 be billed with other procedures?
The coding rules say W0516 cannot be billed together with 5 other codes, including W9030 (Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral), W0515 (Interpositional silastic arthroplasty of metacarpophalangeal (MCP) or proximal interphalangeal (PIP) joints - multiple digits), W0512 (Interpositional silastic arthroplasty of metacarpophalangeal (MCP) or proximal interphalangeal (PIP) joint - single digit). 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