W4244: Tibial liner exchange in total knee replacement
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 | Check cover | Listed by WPA: check cover at pre-authorisation WPA needs the date and nature of the original operation and the reason for revision. |
Codes that can't be billed with W4244
Neither code can be billed with the other
- W5852: Localised patient specific twin knee resurfacing arthroplasty - unilateral
- W8500: Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - unilateral
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W5200: Unicompartmental knee replacement - unilateral
- W9020: Dynamic arthrogram of joint
- W5822: Robotic assisted revision of unicompartmental knee replacement - unilateral
- W0850: Partial excision of bone (including exostoses)
W4244 can't be billed with
- S4230: Secondary suture of skin
- W0630: Patellectomy
- W0700: Excision of ectopic bone
- W2830: Removal of internal fixation from bone / joint, excluding K-wires +/- image guidance
- W3100: Bone graft (as sole procedure)
- W4214: Customised unicompartmental knee replacement
- W4218: Customised total prosthetic replacement of knee joint
- W4230: Revision of total knee replacement – unilateral
- W5210: Revision of unicompartmental knee replacement - unilateral
- W5722: Excision reconstruction of small joint
- W5723: Excision reconstruction of large joint
- W5800: Conversion of a unicompartmental knee replacement to a total replacement of knee joint
- W8520: Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure)
- W8700: Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure)
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W9240: Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)
- W5851: Localised patient specific knee resurfacing arthroplasty - unilateral
- W4231: Robotic assisted revision of total knee replacement - unilateral
AXA Health also lists these codes as unacceptable combinations (19)
- W3100: Bone graft (as sole procedure)
- W2830: Removal of internal fixation from bone / joint, excluding K-wires +/- image guidance
- W8700: Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure)
- W0850: Partial excision of bone (including exostoses)
- W5723: Excision reconstruction of large joint
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W5722: Excision reconstruction of small joint
- S4230: Secondary suture of skin
- W8520: Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure)
- W8500: Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - unilateral
- W0630: Patellectomy
- W0700: Excision of ectopic bone
- W9020: Dynamic arthrogram of joint
- W5800: Conversion of a unicompartmental knee replacement to a total replacement of knee joint
- W5210: Revision of unicompartmental knee replacement - unilateral
- W5200: Unicompartmental knee replacement - unilateral
- W4230: Revision of total knee replacement – unilateral
- W9240: Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)
Related codes
- W4230: Revision of total knee replacement – unilateral
- W5800: Conversion of a unicompartmental knee replacement to a total replacement of knee joint
- W4218: Customised total prosthetic replacement of knee joint
- W4200: Complex primary total knee replacement (i.e. including bone graft, augmentation or osteotomy)
- W4231: Robotic assisted revision of total knee replacement - unilateral
- W5831: Robotic assisted total knee replacement - bilateral +/- cement, +/- patella
Frequently asked questions
What is the procedure code for tibial liner exchange in total knee replacement?
The procedure code is W4244: Tibial liner exchange in total knee replacement.
Which insurers list W4244?
W4244 is listed by Bupa, AXA Health and Vitality. WPA lists it, but you should check cover before treatment. Always confirm the code and cover with your insurer.
Can W4244 be billed with other procedures?
The coding rules say W4244 cannot be billed together with 25 other codes, including W5852 (Localised patient specific twin knee resurfacing arthroplasty - unilateral), W8500 (Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - unilateral), W9030 (Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral). See the full list above.
About the surgeon
Mr Jakub Kozdryk, Consultant Orthopaedic Surgeon, performs hip and knee replacement and revision surgery at Nuffield Health Warwickshire and Circle Meriden Hospital.
Revision knee replacement with Mr Kozdryk →Book an appointment with Mr Kozdryk →
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