W5630: Secondary repair of acromioclavicular or sternoclavicular joint

Secondary repair of acromioclavicular or sternoclavicular joint +/- internal fixation

Current codeBody area: Shoulder

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

InsurerStatusNotes
BupaListedListed by Bupa
AXA HealthListedListed by AXA Health
VitalityListedListed by Vitality
WPACheck coverListed 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 W5630

AXA Health also lists these codes as unacceptable combinations (9)

Related codes

Frequently asked questions

What is the procedure code for secondary repair of acromioclavicular or sternoclavicular joint?

The procedure code is W5630: Secondary repair of acromioclavicular or sternoclavicular joint +/- internal fixation.

Which insurers list W5630?

W5630 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 W5630 be billed with other procedures?

The coding rules say W5630 cannot be billed together with 3 other codes, including W5600 (Primary repair of rupture of acromioclavicular or sternoclavicular joint +/- internal fixation), W9040 (Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral), W9020 (Dynamic arthrogram of joint). 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