W1590: Correction of retracted/dislocated metatarsophalangeal joint (including tendon transfer, division/realignment of bone and internal 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.
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 W1590
Neither code can be billed with the other
- W8780: Diagnostic arthroscopic examination of joint, +/- biopsy - bilateral (not otherwise specified) (as sole procedure)
- W8700: Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure)
- W9240: Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W0300: Multiple procedures on forefoot, distal to and including the tarsometatarsal joint, which involves at least two distinct procedures not intrinsic to each other - unilateral
- W0310: Multiple procedures on forefoot, distal to and including the tarsometatarsal joints, which involves at least two distinct procedures not intrinsic to each other - bilateral
- W9020: Dynamic arthrogram of joint
AXA Health also lists these codes as unacceptable combinations (17)
- X4810: Change of cast without general anaesthetic (as sole procedure)
- W0300: Multiple procedures on forefoot, distal to and including the tarsometatarsal joint, which involves at least two distinct procedures not intrinsic to each other - unilateral
- W0860: Metatarsophalangeal cheilectomy (as sole procedure) - unilateral
- W8780: Diagnostic arthroscopic examination of joint, +/- biopsy - bilateral (not otherwise specified) (as sole procedure)
- A7350: Local anaesthetic blockade of named major nerve or plexus
- W9240: Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)
- W8700: Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure)
- S5210: Injection into subcutaneous tissue/painful trigger point under local anaesthetic
- W3100: Bone graft (as sole procedure)
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W0310: Multiple procedures on forefoot, distal to and including the tarsometatarsal joints, which involves at least two distinct procedures not intrinsic to each other - bilateral
- W5790: Repair to plantar plate
- X4822: Change of cast under general anaesthetic (as sole procedure)
- W9020: Dynamic arthrogram of joint
- W8600: Therapeutic arthroscopy operation on cavity of joint (not otherwise specified) (as sole procedure)
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- A7352: Local anaesthetic blockade of named major nerve or plexus +/- Image guidance (as sole procedure)
Related codes
- W0861: Metatarsophalangeal cheilectomy - bilateral, as sole procedure
- W0860: Metatarsophalangeal cheilectomy (as sole procedure) - unilateral
- W0380: Fusion of first metatarsophalangeal joint - bilateral
- W0330: Fusion of first metatarsophalangeal joint - unilateral
- W5780: Excision arthroplasty of first metatarsophalangeal joint (eg Keller, Bonney-Kessel procedures) including cheilectomy - bilateral
- W5710: Excision arthroplasty of first metatarsophalangeal joint (eg Keller, Bonney-Kessel procedures) including cheilectomy - unilateral
Frequently asked questions
What is the procedure code for correction of retracted/dislocated metatarsophalangeal joint (including tendon transfer, division/realignment of bone and internal fixation)?
The procedure code is W1590: Correction of retracted/dislocated metatarsophalangeal joint (including tendon transfer, division/realignment of bone and internal fixation).
Which insurers list W1590?
W1590 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can W1590 be billed with other procedures?
The coding rules say W1590 cannot be billed together with 7 other codes, including W8780 (Diagnostic arthroscopic examination of joint, +/- biopsy - bilateral (not otherwise specified) (as sole procedure)), W8700 (Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure)), W9240 (Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)). 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