W5040: Replacement of elbow and shoulder (single operation)
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 | Check cover | Listed by WPA: check cover at pre-authorisation |
Codes that can't be billed with W5040
Neither code can be billed with the other
AXA Health also lists these codes as unacceptable combinations (6)
- 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
- W5510: Total prosthetic replacement of elbow
- W9020: Dynamic arthrogram of joint
- W5000: Primary total shoulder replacement
Related codes
Frequently asked questions
What is the procedure code for replacement of elbow and shoulder (single operation)?
The procedure code is W5040: Replacement of elbow and shoulder (single operation).
Which insurers list W5040?
W5040 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 W5040 be billed with other procedures?
The coding rules say W5040 cannot be billed together with 4 other codes, including W5510 (Total prosthetic replacement of elbow), 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