W4543: Open reduction, internal fixation and complete revision for periprosthetic fracture
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 W4543
Neither code can be billed with the other
- W4542: Open reduction, internal fixation and revision of femoral component for periprosthetic fracture
- W3945: Open reduction and internal fixation for periprosthetic fracture around hip
- W3100: Bone graft (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
- W9020: Dynamic arthrogram of joint
AXA Health also lists these codes as unacceptable combinations (8)
- W3100: Bone graft (as sole procedure)
- A7350: Local anaesthetic blockade of named major nerve or plexus
- W9020: Dynamic arthrogram of joint
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W3945: Open reduction and internal fixation for periprosthetic fracture around hip
- W4542: Open reduction, internal fixation and revision of femoral component for periprosthetic fracture
- W9240: Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
Related codes
- W4542: Open reduction, internal fixation and revision of femoral component for periprosthetic fracture
- W3945: Open reduction and internal fixation for periprosthetic fracture around hip
- W6540: Open reduction of dislocated hip prosthesis
- X2262: Complex open reduction for congenital dislocation of hip (i.e. pelvic & femoral or Pemberton osteotomy or revision of open reduction)
- W6013: Primary arthrodesis of hip joint +/- graft & +/- internal fixation - hip
- X2260: Open reduction and Frog POP for congenital dislocation of hip (including traction and innominate/femoral osteotomy)
Frequently asked questions
What is the procedure code for open reduction, internal fixation and complete revision for periprosthetic fracture?
The procedure code is W4543: Open reduction, internal fixation and complete revision for periprosthetic fracture.
Which insurers list W4543?
W4543 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can W4543 be billed with other procedures?
The coding rules say W4543 cannot be billed together with 6 other codes, including W4542 (Open reduction, internal fixation and revision of femoral component for periprosthetic fracture), W3945 (Open reduction and internal fixation for periprosthetic fracture around hip), W3100 (Bone graft (as sole procedure)). 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 hip 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