X4810: Change of cast without general anaesthetic (as sole procedure)
Current codeBody area: Fractures & dislocations
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 Bupa: a separate sedation or regional anaesthesia claim is allowed. |
| AXA Health | Listed | Listed by AXA Health AXA: for hospital invoices only. |
| Vitality | Listed | Listed by Vitality |
| WPA | Listed | Listed by WPA |
Codes that can't be billed with X4810
Neither code can be billed with the other
- W2502: Closed reduction of fracture of long bone (including cast or percutaneous K-wires)
- W3032: Removal of fixator/frame/pins/wires and change of plaster (as sole procedure)
- T6762: Repair of tendon of foot - flexor
- T6763: Repair of tendon of foot - extensor
- W0330: Fusion of first metatarsophalangeal joint - unilateral
- W0380: Fusion of first metatarsophalangeal joint - bilateral
- W0420: Triple fusion of joints of hindfoot without autogenous graft
- W0422: Triple fusion of joints of hindfoot with autogenous graft
- W0432: Isolated subtalar fusion or midfoot fusion with autogenous graft
- W0434: Isolated subtalar fusion or midfoot fusion without autogenous graft
- W0881: Excision of joint of toe with release of contracture and soft tissue correction
- W2580: Closed reduction of fracture of short bone with external fixator
- W2582: Closed reduction of fracture of short bone (including cast or percutaneous K-wires)
- W4410: Total prosthetic replacement of ankle joint
- W5310: Total prosthetic replacement of wrist joint
- 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
- W6200: Total fusion of all joints of wrist +/- graft & +/- internal fixation
- W6202: Partial fusion of wrist
- W6630: Primary closed reduction of fracture or dislocation of joint, +/- fixation (including cast application)
- W7582: Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (child)
- X2200: Closed reduction and Frog POP for congenital dislocation of hip (including dynamic arthrogram, traction and soft tissue release)
- X2260: Open reduction and Frog POP for congenital dislocation of hip (including traction and innominate/femoral osteotomy)
- X2280: Manipulation of hip and casting (as sole procedure)
- X4822: Change of cast under general anaesthetic (as sole procedure)
- W4420: Complex total replacement of ankle (i.e. including custom prosthesis, wedges, internal fixation of fractures)
- 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
- W0460: Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers)
- 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)
- W7580: Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (adult)
- 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
X4810 can't be billed with
AXA Health also lists these codes as unacceptable combinations (91)
- W1590: Correction of retracted/dislocated metatarsophalangeal joint (including tendon transfer, division/realignment of bone and internal fixation)
- M7920: Dilatation of urethra (including cystoscopy)
- T6763: Repair of tendon of foot - extensor
- T7910: Open subacromial decompression and rotator cuff repair +/- excision of distal clavicle
- W9040: Injection(s) +/- aspiration, into joint, cyst, bursa - unilateral
- W5940: Fusion of interphalangeal joint(s) of toe (including internal fixation) - unilateral
- W7440: Allograft anterior cruciate ligament reconstruction +/- meniscectomy
- T6782: Repair of distal biceps tendon
- T7231: Open release of constriction of sheath of tendon (e.g. trigger finger)
- X2260: Open reduction and Frog POP for congenital dislocation of hip (including traction and innominate/femoral osteotomy)
- S6400: Excision of nail bed (Zadik's) (including anaesthetic)
- S5710: Debridement of wound (and surgical toilet) - up to 25cm2 in area
- W3100: Bone graft (as sole procedure)
- M4510: Diagnostic endoscopic examination of bladder (flexible cystoscopy) +/- any biopsy
- W4420: Complex total replacement of ankle (i.e. including custom prosthesis, wedges, internal fixation of fractures)
- W7582: Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (child)
- W7410: Multiple ligament reconstruction of knee
- W6630: Primary closed reduction of fracture or dislocation of joint, +/- fixation (including cast application)
- A6900: Revision of release of peripheral nerve
- W0321: Osteotomies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - unilateral
- W7470: Revision of anterior cruciate ligament reconstruction including autograft/allograft
- W1040: Osteotomy of short bone of foot (excluding hallux valgus and including internal fixation)
- W2580: Closed reduction of fracture of short bone with external fixator
- W0330: Fusion of first metatarsophalangeal joint - unilateral
- W3530: Removal of percutaneous wire
- W1920: Primary open reduction of long bone with fixation
- W0284: Total excision of trapezium and ligament reconstruction
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W5980: Fusion of interphalangeal joint(s) of toe (including internal fixation) - bilateral
- T7290: Trigger point injection/Enthesis - 1 injection
- W0432: Isolated subtalar fusion or midfoot fusion with autogenous graft
- W9240: Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)
- 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
- W7430: Reconstruction of lateral collateral ligament complex
- T6780: Primary repair of Achilles tendon
- T6762: Repair of tendon of foot - flexor
- W7580: Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (adult)
- T6720: Percutaneous lengthening of Achilles tendon
- W0464: Complex procedure to mid foot and hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers, fixation)
- W0322: Osteotomies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - bilateral
- T5202: Dupuytren's fasciectomy palm only
- W4410: Total prosthetic replacement of ankle joint
- T6220: Excision of bursa
- W0422: Triple fusion of joints of hindfoot with autogenous graft
- S7010: Wedge excision or avulsion of nail (including chemical ablation of nail bed)
- S0633: Excision of lesion of skin or subcutaneous tissue - up to three, Trunk & Limbs (excluding lipoma)
- W0463: Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
- W8580: Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - bilateral
- W2582: Closed reduction of fracture of short bone (including cast or percutaneous K-wires)
- A7352: Local anaesthetic blockade of named major nerve or plexus +/- Image guidance (as sole procedure)
- W0324: Revision of osteotomy/ies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - bilateral
- W0462: Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
- W8500: Multiple arthroscopic operations on knee (including meniscectomy, chondroplasty, drilling or microfracture) - unilateral
- T8050: Surgical release of humeral epicondylitis (lateral or medial) (e.g. Tennis Elbow")"
- W0640: Total excision of sesamoid bone
- W7420: Autograft anterior cruciate ligament reconstruction without lateral tenodesis +/- meniscectomy
- X4822: Change of cast under general anaesthetic (as sole procedure)
- W6202: Partial fusion of wrist
- W6200: Total fusion of all joints of wrist +/- graft & +/- internal fixation
- W3032: Removal of fixator/frame/pins/wires and change of plaster (as sole procedure)
- W5930: Fusion of digit joint(s) of hand +/- graft & +/- internal fixation
- W8300: Therapeutic arthroscopy operation on articular cartilage (other than W8200) - unilateral (as sole procedure)
- W2100: Primary open reduction of intra-articular fracture of long bone with internal fixation, e.g. proximal humerus or proximal tibia (+/- arthroscopic assistance)
- S5210: Injection into subcutaneous tissue/painful trigger point under local anaesthetic
- W8640: Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures +/- ligament reconstruction (as sole procedure)
- W7910: Metatarsal osteotomy (e.g. Scarf) for hallux vagus, +/- internal fixation +/- soft tissue correction - unilateral
- T6800: Delayed or secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified)
- W2300: Secondary open reduction of fracture of short bone (including intra-articular fracture for delayed/non-union and including bone graft)
- E0850: Removal of foreign body from cavity of nose
- W0860: Metatarsophalangeal cheilectomy (as sole procedure) - unilateral
- W0881: Excision of joint of toe with release of contracture and soft tissue correction
- 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
- W5310: Total prosthetic replacement of wrist joint
- W0323: Revision of osteotomy/ies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - unilateral
- W2830: Removal of internal fixation from bone / joint, excluding K-wires +/- image guidance
- S0632: Excision of lesion of skin or subcutaneous tissue - up to three, Head & Neck (excluding lipoma)
- W8230: Arthroscopic meniscal repair
- W8630: Therapeutic arthroscopy of ankle with either soft tissue procedure or bony +/or joint surface procedure (as sole procedure)
- X2280: Manipulation of hip and casting (as sole procedure)
- W0380: Fusion of first metatarsophalangeal joint - bilateral
- W6017: Arthroscopic ankle arthrodesis with internal fixation
- W7485: Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) ligament reconstruction
- W7980: Metatarsal osteotomy (eg Scarf) for hallux valgus, +/- internal fixation +/- soft tissue correction - bilateral
- W0420: Triple fusion of joints of hindfoot without autogenous graft
- W7583: Repair of patellar/quadricep tendon
- A7350: Local anaesthetic blockade of named major nerve or plexus
- 22022: Recording and reporting on electromyography and nerve conduction studies (EMG); CTS (Bilateral upper limb only) or peripheral neuropathy
- W2502: Closed reduction of fracture of long bone (including cast or percutaneous K-wires)
- W0460: Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers)
- W0434: Isolated subtalar fusion or midfoot fusion without autogenous graft
- X2200: Closed reduction and Frog POP for congenital dislocation of hip (including dynamic arthrogram, traction and soft tissue release)
Related codes
Frequently asked questions
What is the procedure code for change of cast without general anaesthetic (as sole procedure)?
The procedure code is X4810: Change of cast without general anaesthetic (as sole procedure).
Which insurers list X4810?
X4810 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can X4810 be billed with other procedures?
The coding rules say X4810 cannot be billed together with 39 other codes, including W2502 (Closed reduction of fracture of long bone (including cast or percutaneous K-wires)), W3032 (Removal of fixator/frame/pins/wires and change of plaster (as sole procedure)), T6762 (Repair of tendon of foot - flexor). 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