W0961: Radical clearance of benign bone tumour with reconstruction
Radical clearance of benign bone tumour with reconstruction +/- insertion of prosthesis
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 Bupa: intensive care days may be reimbursed for this procedure. |
| AXA Health | Listed | Listed by AXA Health |
| Vitality | Listed | Listed by Vitality |
| WPA | Listed | Listed by WPA |
Codes that can't be billed with W0961
Neither code can be billed with the other
W0961 can't be billed with
- S0632: Excision of lesion of skin or subcutaneous tissue - up to three, Head & Neck (excluding lipoma)
- S0633: Excision of lesion of skin or subcutaneous tissue - up to three, Trunk & Limbs (excluding lipoma)
- S0643: Excision of lesion of skin or subcutaneous tissue - four or more, Trunk & Limbs (excluding lipoma)
- S0642: Excision of lesion of skin or subcutaneous tissue - four or more, Head & Neck (excluding lipoma)
- S1500: Biopsy of skin or subcutaneous tissue
- W0960: Excision of benign tumour of bone with bone grafting
- W3620: Open bone biopsy as sole procedure
- W3622: Needle biopsy of bone as sole procedure
- W0950: Radical clearance of sarcoma of trunk or limbs, +/- amputation or insertion of prosthesis
AXA Health also lists these codes as unacceptable combinations (11)
- W0950: Radical clearance of sarcoma of trunk or limbs, +/- amputation or insertion of prosthesis
- W0850: Partial excision of bone (including exostoses)
- S0632: Excision of lesion of skin or subcutaneous tissue - up to three, Head & Neck (excluding lipoma)
- W3622: Needle biopsy of bone as sole procedure
- W0960: Excision of benign tumour of bone with bone grafting
- H0280: Laparoscopic appendicectomy
- S0642: Excision of lesion of skin or subcutaneous tissue - four or more, Head & Neck (excluding lipoma)
- S1500: Biopsy of skin or subcutaneous tissue
- S0633: Excision of lesion of skin or subcutaneous tissue - up to three, Trunk & Limbs (excluding lipoma)
- W3620: Open bone biopsy as sole procedure
- S0643: Excision of lesion of skin or subcutaneous tissue - four or more, Trunk & Limbs (excluding lipoma)
Related codes
- W0950: Radical clearance of sarcoma of trunk or limbs, +/- amputation or insertion of prosthesis
- W0960: Excision of benign tumour of bone with bone grafting
- W0951: Radical clearance of sarcoma of head and neck necessitating flap reconstruction
- W3622: Needle biopsy of bone as sole procedure
- W3620: Open bone biopsy as sole procedure
- W1800: Drainage/debridement of bone(s) (including sequestrectomy for osteomyelitis)
Frequently asked questions
What is the procedure code for radical clearance of benign bone tumour with reconstruction?
The procedure code is W0961: Radical clearance of benign bone tumour with reconstruction +/- insertion of prosthesis.
Which insurers list W0961?
W0961 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can W0961 be billed with other procedures?
The coding rules say W0961 cannot be billed together with 10 other codes, including W0850 (Partial excision of bone (including exostoses)), S0632 (Excision of lesion of skin or subcutaneous tissue - up to three, Head & Neck (excluding lipoma)), S0633 (Excision of lesion of skin or subcutaneous tissue - up to three, Trunk & Limbs (excluding lipoma)). 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