W5030: Revision total shoulder 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 | Listed | Listed by WPA |
Codes that can't be billed with W5030
Neither code can be billed with the other
AXA Health also lists these codes as unacceptable combinations (7)
- W9020: Dynamic arthrogram of joint
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W5000: Primary total shoulder replacement
- W4920: Conversion of hemiarthroplasty to total shoulder replacement
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W3100: Bone graft (as sole procedure)
- A7350: Local anaesthetic blockade of named major nerve or plexus
Related codes
- W5000: Primary total shoulder replacement
- W5032: 2 stage revision of total shoulder replacement for infection - second stage
- W5031: 2 stage revision of total shoulder replacement for infection - first stage
- W4920: Conversion of hemiarthroplasty to total shoulder replacement
- W7780: Revision stabilisation of shoulder joint
- W6030: Revision or conversion to arthrodesis of shoulder
Frequently asked questions
What is the procedure code for revision total shoulder replacement?
The procedure code is W5030: Revision total shoulder replacement.
Which insurers list W5030?
W5030 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can W5030 be billed with other procedures?
The coding rules say W5030 cannot be billed together with 4 other codes, including W4920 (Conversion of hemiarthroplasty to total shoulder replacement), W5000 (Primary 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