W9040: Injection(s), into joint, cyst, bursa - unilateral
Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
Current codeBody area: Joints (general)
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
joint injectionsteroid injectioncortisone injectionjoint aspiration
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 Bupa: a follow-up consultation can be claimed on the same day. |
| AXA Health | Not listed | Not on the AXA Health procedure list |
| Vitality | Listed | Listed by Vitality |
| WPA | Listed | Listed by WPA |
Codes that can't be billed with W9040
Neither code can be billed with the other
- T7910: Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle
- T7981: Extensive (greater than 2cm tear) repair of large muscle (including arthroscopic) (excluding rotator cuff)
- T8002: Minor release of muscle for pain or contracture (involving small joint)
- T8003: Major release of muscle for pain or contracture (e.g. Quadriceps) (involving large joint)
- T8050: Surgical release of humeral epicondylitis (lateral or medial) (e.g. Tennis Elbow")"
- V2020: Prosthetic replacement of temporomandibular joint
- V2030: Arthroplasty of temporomandibular bone joint - unilateral
- V2110: Temporomandibular meniscectomy
- V2120: Reduction of dislocation of temporomandibular joint
- W0285: Trapezio-metacarpal joint surface replacement
- W0512: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) or proximal interphalangeal (PIP) joint - single digit
- W0513: Interpositional silastic arthroplasty of metacarpophalangeal (MCP) and proximal interphalangeal (PIP) joints - multiple digits
- W0514: Prosthetic surface arthroplasty of interphalangeal/ metacarpo-phalangeal joint - single joint (both cemented and uncemented)
- W1590: Correction of retracted/dislocated metatarsophalangeal joint (including tendon transfer, division/realignment of bone and internal fixation)
- W2100: Primary open reduction of intra-articular fracture of long bone with internal fixation, e.g. proximal humerus or proximal tibia (+/- arthroscopic assistance)
- W2830: Removal of internal fixation from bone / joint, excluding K-wires +/- image guidance
- W3110: Osteochondral grafting as a single stage procedure
- W3122: Harvesting for autologous chondrocyte transplantation into knee (including arthroscopy)
- W3123: Implantation of autologous chondrocytes into knee (including knee surgery, debridement and periosteal flap or membrane cover)
- W3140: Implantation of autologous chondrocytes into knee using an Advanced Therapy Medicinal Product (including knee surgery, debridement and periosteal flap or membrane cover)
- W3713: Complex primary total hip replacement (including bone grafting or femoral osteotomy)
- W3714: Total hip replacement, +/- cement, after excision arthroplasty or arthrodesis (including conversion of hemiarthroplasty or revision of other previous hip surgery which involved internal fixation)
- W3717: Minimally invasive hip replacement - unilateral
- W3718: Minimally invasive hip resurfacing
- W3719: Hip resurfacing arthroplasty bilateral
- W3732: Revision of uncemented or cemented total hip replacement without adjunctive procedures - unilateral
- W3733: Revision of total hip replacement (including insertion of reconstruction rings, plates, screws, etc., and/or impaction bone grafting to acetabulum and/or femur) - unilateral
- W3780: Total prosthetic replacement of the hip, +/- cement, bilateral
- W3942: Removal of total hip replacement and creating a pseudarthrosis
- W3943: Removal of total hip replacement and complete clearance of cement
- W3944: Acetabular liner and head changes
- W3945: Open reduction and internal fixation for periprosthetic fracture around hip
- W4200: Complex primary total knee replacement (i.e. including bone graft, augmentation or osteotomy)
- W4212: Minimally invasive knee replacement +/- cement +/- patella resurfacing - unilateral
- W4230: Revision of total knee replacement – unilateral
- W4240: 2 stage revision of total knee replacement for infection - first stage
- W4242: 2 stage revision of total knee replacement for infection - second stage
- W4280: Total prosthetic replacement of knee joint +/- cement +/- patella resurfacing - bilateral
- W4410: Total prosthetic replacement of ankle joint
- W4420: Complex total replacement of ankle (i.e. including custom prosthesis, wedges, internal fixation of fractures)
- W4430: Revision of total prosthetic replacement of ankle joint
- W4441: Harvesting for autologous chondrocyte transplantation into ankle
- W4442: Implantation of autologous chondrocyte into ankle
- W4542: Open reduction, internal fixation and revision of femoral component for periprosthetic fracture
- W4543: Open reduction, internal fixation and complete revision for periprosthetic fracture
- W4600: Prosthetic replacement of head of femur
- W4902: Shoulder hemiarthroplasty with reconstruction for fracture
- W4920: Conversion of hemiarthroplasty to total shoulder replacement
- W4930: Revisional shoulder hemiarthroplasty
- W5000: Primary total shoulder replacement
- W5030: Revision total shoulder replacement
- W5040: Replacement of elbow and shoulder (single operation)
- W5050: Reverse polarity arthroplasty of shoulder
- W5201: Unicompartmental Knee Replacement - bilateral
- W5300: Bicompartmental knee resurfacing
- W5310: Total prosthetic replacement of wrist joint
- W5502: Interposition arthroplasty of elbow
- W5510: Total prosthetic replacement of elbow
- W5512: Prosthetic replacement of radial head
- W5520: Revisional prosthetic replacement of elbow
- W5540: Debridement of infected total joint replacement
- W5560: OK (Outerbridge and Kashiwagi) procedure
- W5600: Primary repair of rupture of acromioclavicular or sternoclavicular joint +/- internal fixation
- W5630: Secondary repair of acromioclavicular or sternoclavicular joint +/- internal fixation
- W5700: Excision arthroplasty of first metatarsophalangeal joint with prosthetic implantation or interpositional arthroplasty - unilateral
- W5701: Excision arthroplasty of first metatarsophalangeal joint with prosthetic implantation or interpositional arthroplasty - bilateral
- W5710: Excision arthroplasty of first metatarsophalangeal joint (eg Keller, Bonney-Kessel procedures) including cheilectomy - unilateral
- W5722: Excision reconstruction of small joint
- W5723: Excision reconstruction of large joint
- W5780: Excision arthroplasty of first metatarsophalangeal joint (eg Keller, Bonney-Kessel procedures) including cheilectomy - bilateral
- W5930: Fusion of digit joint(s) of hand +/- graft & +/- internal fixation
- W5940: Fusion of interphalangeal joint(s) of toe (including internal fixation) - unilateral
- W5980: Fusion of interphalangeal joint(s) of toe (including internal fixation) - bilateral
- W6012: Primary arthrodesis of joint +/- graft & +/- internal fixation - shoulder
- W6014: Primary arthrodesis of knee joint +/- graft & +/- internal fixation
- W6015: Open ankle arthrodesis with internal fixation
- W6016: Open ankle arthrodesis with autogenous graft
- W6017: Arthroscopic ankle arthrodesis with internal fixation
- W6018: Revisional ankle arthrodesis (including conversion from total ankle replacement)
- W6019: Ankle syndesmosis reconstruction
- W6030: Revision or conversion to arthrodesis of shoulder
- W6200: Total fusion of all joints of wrist +/- graft & +/- internal fixation
- W6202: Partial fusion of wrist
- W6522: Primary open reduction of dislocation of small joint
- W6523: Primary open reduction of dislocation of large joint
- W6540: Open reduction of dislocated hip prosthesis
- W6600: Closed reduction of dislocated hip prosthesis
- W6630: Primary closed reduction of fracture or dislocation of joint, +/- fixation (including cast application)
- W6702: Secondary open reduction of dislocation of small joint
- W6703: Secondary open reduction of dislocation of large joint
- W6912: Total synovectomy of small joint
- W6913: Total synovectomy of large joint
- W7400: Reconstruction of one or two ligaments not elsewhere specified
- W7410: Multiple ligament reconstruction of knee
- W7430: Reconstruction of lateral collateral ligament complex
- W7440: Allograft anterior cruciate ligament reconstruction +/- meniscectomy
- W7470: Revision of anterior cruciate ligament reconstruction including autograft/allograft
- W7480: Posterior cruciate ligament reconstruction
- W7482: Scaphoid lunate ligament reconstruction
- W7483: Triquetrolunate ligament reconstruction
- W7484: Reconstruction of three or more ligaments not elsewhere specified
- W7485: Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) ligament reconstruction
- W7486: Carpo-metacarpal joint ligament reconstruction
- W7492: Lateral release
- W7500: Prosthetic open repair of ligament not elsewhere specified
- W7530: Repair of lateral collateral ligament complex
- W7582: Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (child)
- W7583: Repair of patellar/quadricep tendon
- W7715: Coracoid bone block transfer for recurrent instability of shoulder (Bristow-Latarjet procedure)
- W7780: Revision stabilisation of shoulder joint
- W7810: Open arthrolysis of shoulder contracture +/- manipulation/injection
- W7850: Open arthrolysis of elbow
- W7872: Arthroscopic arthrolysis of shoulder contracture +/- manipulation/injection
- W7880: Release of ankle joint contracture (excluding Achilles tendon lengthening)
- W7881: Release of contracture of interphalangeal joint of finger (excluding trigger finger or Dupuytren's disease)
- W8100: Open excision of calcific deposit (e.g. shoulder, hip)
- W8110: Arthroscopic excision of calcific deposits from shoulder (as sole procedure)
- W8180: Arthrotomy of small joint (including removal of loose body from joint)
- W8200: Arthroscopic meniscectomy (including debridement) - unilateral
- W8230: Arthroscopic meniscal repair
- W8250: Partial replacement of the meniscus of the knee using a biodegradable scaffold
- W8280: Arthroscopic meniscectomy (including debridement) - bilateral
- W8300: Therapeutic arthroscopy operation on articular cartilage (other than W8200) - unilateral (as sole procedure)
- W8380: Therapeutic arthroscopy operation on articular cartilage (other than W8200) - bilateral (as sole procedure)
- W8600: Therapeutic arthroscopy operation on cavity of joint (not otherwise specified) (as sole procedure)
- W8602: Therapeutic arthroscopy of wrist joint (as sole procedure)
- W8620: Therapeutic arthroscopy examination of hip joint, +/- biopsy
- W8650: Therapeutic subtalar arthroscopy (including synovectomy to gain vision)
- W8680: Therapeutic arthroscopy operation on cavity of joint - bilateral (not otherwise specified) (as sole procedure)
- W8700: Diagnostic arthroscopic examination of joint, +/- biopsy (not otherwise specified) (as sole procedure)
- W8780: Diagnostic arthroscopic examination of joint, +/- biopsy - bilateral (not otherwise specified) (as sole procedure)
- W8782: Flexible arthroscopy, +/- biopsy (as sole procedure)
- W8830: Diagnostic arthroscopic examination of wrist joint, +/- biopsy (as sole procedure)
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W9111: Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure) - bilateral"
- W9112: Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure)"
- W9240: Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)
- Y3320: Dry needling
- W9045: Injection(s) +/- aspiration, into two or more joints, cysts, bursae - bilateral
- W8580: Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - bilateral
- W0321: Osteotomies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - unilateral
- W0322: Osteotomies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - bilateral
- W0300: Multiple procedures on forefoot, distal to and including the tarsometatarsal joint, which involves at least two distinct procedures not intrinsic to each other - unilateral
- W0310: Multiple procedures on forefoot, distal to and including the tarsometatarsal joints, which involves at least two distinct procedures not intrinsic to each other - bilateral
- T7915: Arthroscopic rotator cuff repair greater than 2cm
- W4900: Shoulder hemiarthroplasty (as sole procedure)
- W8603: Therapeutic arthroscopy of shoulder (as sole procedure)
- W8820: Diagnostic arthroscopic examination of shoulder joint, +/- biopsy (as sole procedure)
- W5550: Excision of radial head (as sole procedure)
- W7860: Arthroscopic arthrolysis of elbow (as sole procedure)
- W8880: Arthroscopy of elbow (as sole procedure)
- W8800: Diagnostic arthroscopic examination of hip joint (as sole procedure, including washout, +/- biopsy)
- W8520: Arthroscopy of knee (including examination under anaesthetic, washout and biopsy) (as sole procedure)
- W8840: Diagnostic arthroscopic examination of ankle (as sole procedure, including anterior synovectomy to gain vision)
- W8850: Diagnostic subtalar arthroscopy (as sole procedure, including synovectomy to gain vision)
- W9282: Joint fluid examination (e.g. polarising microscopy) performed by consultant (including aspiration of fluid)
- T7982: Arthroscopic subacromial decompression and rotator cuff repair (including arthroscopic procedures in glenohumeral joint)
- W1380: Arthroscopic femoro-acetabular surgery for hip impingement syndrome, including labral repair and osteochondroplasty
- W7420: Autograft anterior cruciate ligament reconstruction without lateral tenodesis +/- meniscectomy
- W8193: Arthroscopic subacromial decompression
- W5852: Localised patient specific twin knee resurfacing arthroplasty - unilateral
- W0633: Prosthetic replacement of patellofemoral joint - bilateral (as sole procedure)
- W9035: Injections(s) +/- aspiration into two or more joints, cysts, bursae with image guidance - bilateral
- W9050: Shoulder hydrodistension +/- image guidance
- W8150: Arthrotomy of large joint (including removal of loose body from joint)
- W7713: Primary stabilisation of multi-directional instability of shoulder joint +/- tendon repair
- W5830: Robotic assisted total knee replacement – unilateral +/- cement, +/- patella
- A5790: Sacroiliac joint injection under image guidance (and bilateral)
- W8500: Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - unilateral
- T7990: Revision of open or arthroscopic rotator cuff repair +/- decompression
- W7580: Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (adult)
- W3720: Robotic assisted total hip replacement - unilateral +/- cement
- W5200: Unicompartmental knee replacement - unilateral
- W3715: Hip resurfacing arthroplasty
- W9042: Injection of viscosupplement into joint - unilateral
- W9032: Injection of viscosupplement into joint with image guidance - unilateral
- W4210: Total prosthetic replacement of knee joint +/- cement +/- patella resurfacing - unilateral
- W9020: Dynamic arthrogram of joint
- W6013: Primary arthrodesis of hip joint +/- graft & +/- internal fixation - hip
- W5822: Robotic assisted revision of unicompartmental knee replacement - unilateral
- W3744: Robotic assisted revision of total hip replacement - unilateral
- W3745: Robotic assisted revision of total hip replacement (inclduing insertion of reconstruction rings, plates, screws +/- impaction bonegrafting to acetabulum +/- femur) - unilateral
- W3712: Primary total hip replacement – unilateral +/- cement
- W8194: Arthroscopic subacromial decompression and excision of distal clavicle (including arthroscopic procedures in glenohumeral joint)
- W5821: Robotic assisted unicompartmental knee replacement - bilateral
- W7481: Autograft posterior cruciate ligament reconstruction +/- meniscectomy
- W3722: Minimally invasive hip replacement +/- cement - bilateral
- T7916: Arthroscopic rotator cuff repair greater than 2cm with tenodesis of biceps tendon
- V2161: Therapeutic arthroscopic operation of temporomandibular joint +/- lysis and/or lavage - unilateral
- T7918: Arthroscopic rotator cuff repair using a biodegradable collagen based scaffold
- V2162: Therapeutic arthroscopic operation of temporomandibular joint +/- lysis and/or lavage - bilateral
- W0323: Revision of osteotomy/ies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - unilateral
- W0324: Revision of osteotomy/ies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - bilateral
- W3124: Single stage harvest of cartilage and injection of autologous morcellised cartilage and platelet rich plasma into joint
W9040 can't be billed with
- W9043: Injections of viscosupplement into joints - bilateral
- W9033: Injections of viscosupplement into joints with image guidance - bilateral
- W5210: Revision of unicompartmental knee replacement - unilateral
- W5800: Conversion of a unicompartmental knee replacement to a total replacement of knee joint
- W0890: Excision distal clavicle (as sole procedure)
- T6450: Tenodesis of biceps tendon (as sole procedure)
- W1648: Osteotomy/transfer of greater trochanter (as sole procedure)
- W0632: Prosthetic patello-femoral replacement (as sole procedure) – unilateral
- W0860: Metatarsophalangeal cheilectomy (as sole procedure) - unilateral
- W0861: Metatarsophalangeal cheilectomy - bilateral, as sole procedure
- W4214: Customised unicompartmental knee replacement
- W4216: Customised bicompartmental knee replacement
- W4218: Customised total prosthetic replacement of knee joint
- W4244: Tibial liner exchange in total knee replacement
- W5851: Localised patient specific knee resurfacing arthroplasty - unilateral
- W5831: Robotic assisted total knee replacement - bilateral +/- cement, +/- patella
- W3751: Customised unilateral hip replacement
- W8646: Multiple arthroscopic operations on ankle (including soft tissue +/- bony +/- joint surface procedures) without ligament reconstruction
- W4231: Robotic assisted revision of total knee replacement - unilateral
- T7941: Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - first stage
- T7942: Arthroscopic rotator cuff repair using acellular dermal matrix (ADM) - second stage
- W0460: Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers)
- W7921: Surgical correction of hallux valgus using minimal access techniques- bilateral
- W0464: Complex procedure to mid foot and hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers, fixation)
- W0463: Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
- W0462: Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
- W7922: Surgical correction of hallux valgus using minimal access techniques- unilateral
- W7451: 2 stage revision anterior cruciate ligament reconstruction - first stage
- W7452: 2 stage revision anterior cruciate ligament reconstruction - second stage
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- V2031: Arthroplasty of temporomandibular bone joint - bilateral
- W3721: Robotic assisted total hip replacement - bilateral +/- cement
Related codes
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W9042: Injection of viscosupplement into joint - unilateral
- W9045: Injection(s) +/- aspiration, into two or more joints, cysts, bursae - bilateral
- W9032: Injection of viscosupplement into joint with image guidance - unilateral
- W9052: Injection of polyacrylamide hydrogel into joint +/- image guidance - unilateral
- W9053: Injection of polyacrylamide hydrogel into joints +/- image guidance - bilateral
Frequently asked questions
What is the procedure code for injection(s), into joint, cyst, bursa - unilateral?
The procedure code is W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral.
Which insurers list W9040?
W9040 is listed by Bupa, Vitality and WPA. It is not on the AXA Health procedure list. Always confirm the code and cover with your insurer.
Can W9040 be billed with other procedures?
The coding rules say W9040 cannot be billed together with 226 other codes, including T7910 (Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle), T7981 (Extensive (greater than 2cm tear) repair of large muscle (including arthroscopic) (excluding rotator cuff)), T8002 (Minor release of muscle for pain or contracture (involving small joint)). See the full list above.
About the surgeon
Mr Jakub Kozdryk, Consultant Orthopaedic Surgeon, performs hip and knee replacement and revision surgery at Nuffield Health Warwickshire and Circle Meriden Hospital.
Hip injections with Mr Kozdryk →Book an appointment with Mr Kozdryk →
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