W8645: Multiple arthroscopic operations on ankle (including soft tissue) with ligament reconstruction
Multiple arthroscopic operations on ankle (including soft tissue +/- bony +/- joint surface procedures) with ligament reconstruction
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 W8645
Neither code can be billed with the other
W8645 can't be billed with
AXA Health also lists these codes as unacceptable combinations (26)
- W7430: Reconstruction of lateral collateral ligament complex
- W9240: Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)
- W4420: Complex total replacement of ankle (i.e. including custom prosthesis, wedges, internal fixation of fractures)
- T6762: Repair of tendon of foot - flexor
- W3100: Bone graft (as sole procedure)
- W4410: Total prosthetic replacement of ankle joint
- W9020: Dynamic arthrogram of joint
- W7400: Reconstruction of one or two ligaments not elsewhere specified
- W8150: Arthrotomy of large joint (including removal of loose body from joint)
- X4810: Change of cast without general anaesthetic (as sole procedure)
- W0860: Metatarsophalangeal cheilectomy (as sole procedure) - unilateral
- W8840: Diagnostic arthroscopic examination of ankle (as sole procedure, including anterior synovectomy to gain vision)
- W6019: Ankle syndesmosis reconstruction
- W8650: Therapeutic subtalar arthroscopy (including synovectomy to gain vision)
- W0460: Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers)
- W8600: Therapeutic arthroscopy operation on cavity of joint (not otherwise specified) (as sole procedure)
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W0700: Excision of ectopic bone
- W6913: Total synovectomy of large joint
- W6912: Total synovectomy of small joint
- W8780: Diagnostic arthroscopic examination of joint, +/- biopsy - bilateral (not otherwise specified) (as sole procedure)
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W8700: Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure)
- W4430: Revision of total prosthetic replacement of ankle joint
- X4822: Change of cast under general anaesthetic (as sole procedure)
- W0850: Partial excision of bone (including exostoses)
Related codes
- W8646: Multiple arthroscopic operations on ankle (including soft tissue +/- bony +/- joint surface procedures) without ligament reconstruction
- W6019: Ankle syndesmosis reconstruction
- W8840: Diagnostic arthroscopic examination of ankle (as sole procedure, including anterior synovectomy to gain vision)
- W6017: Arthroscopic ankle arthrodesis with internal fixation
- W7880: Release of ankle joint contracture (excluding Achilles tendon lengthening)
- W6018: Revisional ankle arthrodesis (including conversion from total ankle replacement)
Frequently asked questions
What is the procedure code for multiple arthroscopic operations on ankle (including soft tissue) with ligament reconstruction?
The procedure code is W8645: Multiple arthroscopic operations on ankle (including soft tissue +/- bony +/- joint surface procedures) with ligament reconstruction.
Which insurers list W8645?
W8645 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can W8645 be billed with other procedures?
The coding rules say W8645 cannot be billed together with 3 other codes, including W9030 (Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral), W7430 (Reconstruction of lateral collateral ligament complex), W6019 (Ankle syndesmosis reconstruction). 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