W4902: Shoulder hemiarthroplasty with reconstruction for 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.
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 W4902
Neither code can be billed with the other
AXA Health also lists these codes as unacceptable combinations (7)
- W4930: Revisional shoulder hemiarthroplasty
- A7350: Local anaesthetic blockade of named major nerve or plexus
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W4920: Conversion of hemiarthroplasty to total shoulder replacement
- W4900: Shoulder hemiarthroplasty (as sole procedure)
- W9020: Dynamic arthrogram of joint
Related codes
- W4900: Shoulder hemiarthroplasty (as sole procedure)
- W4930: Revisional shoulder hemiarthroplasty
- W4920: Conversion of hemiarthroplasty to total shoulder replacement
- W9112: Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure)"
- W9111: Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure) - bilateral"
- W8603: Therapeutic arthroscopy of shoulder (as sole procedure)
Frequently asked questions
What is the procedure code for shoulder hemiarthroplasty with reconstruction for fracture?
The procedure code is W4902: Shoulder hemiarthroplasty with reconstruction for fracture.
Which insurers list W4902?
W4902 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can W4902 be billed with other procedures?
The coding rules say W4902 cannot be billed together with 5 other codes, including W4930 (Revisional shoulder hemiarthroplasty), W4920 (Conversion of hemiarthroplasty to total shoulder replacement), W9040 (Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral). 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