X4822: Change of cast under 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 |
| AXA Health | Listed | Listed by AXA Health |
| Vitality | Listed | Listed by Vitality |
| WPA | Listed | Listed by WPA |
Codes that can't be billed with X4822
Neither code can be billed with the other
- X4810: Change of cast without general anaesthetic (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
- W2502: Closed reduction of fracture of long bone (including cast or percutaneous K-wires)
- 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)
- W3032: Removal of fixator/frame/pins/wires and change of plaster (as sole procedure)
- 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)
- 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
X4822 can't be billed with
AXA Health also lists these codes as unacceptable combinations (102)
- 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
- W1590: Correction of retracted/dislocated metatarsophalangeal joint (including tendon transfer, division/realignment of bone and internal fixation)
- W0422: Triple fusion of joints of hindfoot with autogenous graft
- W3530: Removal of percutaneous wire
- W9112: Manipulation of joint (including intra-articular injection) for Frozen Shoulder" (as sole procedure)"
- W7430: Reconstruction of lateral collateral ligament complex
- W7420: Autograft anterior cruciate ligament reconstruction without lateral tenodesis +/- meniscectomy
- T7050: Lengthening of tendon(s) or open tenotomy
- W4420: Complex total replacement of ankle (i.e. including custom prosthesis, wedges, internal fixation of fractures)
- W0881: Excision of joint of toe with release of contracture and soft tissue correction
- T6763: Repair of tendon of foot - extensor
- A6810: Neurolysis and transposition of peripheral nerve (excludes carpal tunnel release)
- X4810: Change of cast without general anaesthetic (as sole procedure)
- T6810: Delayed or secondary repair of Achilles tendon without tendon or fascial graft
- W7440: Allograft anterior cruciate ligament reconstruction +/- meniscectomy
- W0285: Trapezio-metacarpal joint surface replacement
- W7583: Repair of patellar/quadricep tendon
- W0432: Isolated subtalar fusion or midfoot fusion with autogenous graft
- W0324: Revision of osteotomy/ies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - bilateral
- X2280: Manipulation of hip and casting (as sole procedure)
- W9240: Examination/ manipulation of joint under general anaesthetic +/- injection +/- arthrogram (as sole procedure)
- T6822: Delayed or secondary repair of Achilles tendon with tendon or fascial graft
- W2300: Secondary open reduction of fracture of short bone (including intra-articular fracture for delayed/non-union and including bone graft)
- W7582: Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (child)
- W0284: Total excision of trapezium and ligament reconstruction
- W8600: Therapeutic arthroscopy operation on cavity of joint (not otherwise specified) (as sole procedure)
- W5310: Total prosthetic replacement of wrist joint
- W6202: Partial fusion of wrist
- W7490: Reconstruction of posterior lateral corner of knee
- W5940: Fusion of interphalangeal joint(s) of toe (including internal fixation) - unilateral
- W8602: Therapeutic arthroscopy of wrist joint (as sole procedure)
- W0380: Fusion of first metatarsophalangeal joint - bilateral
- X2200: Closed reduction and Frog POP for congenital dislocation of hip (including dynamic arthrogram, traction and soft tissue release)
- W5701: Excision arthroplasty of first metatarsophalangeal joint with prosthetic implantation or interpositional arthroplasty - bilateral
- W0850: Partial excision of bone (including exostoses)
- W7485: Small joint (e.g. interphalangeal/ metacarpo-phalangeal joint) ligament reconstruction
- W7580: Open surgical stabilisation of patella, including soft tissue/tendon transfer or release, +/- application of cast (adult)
- W0322: Osteotomies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - bilateral
- T7231: Open release of constriction of sheath of tendon (e.g. trigger finger)
- W0321: Osteotomies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - unilateral
- W7881: Release of contracture of interphalangeal joint of finger (excluding trigger finger or Dupuytren's disease)
- T5223: Dupuytren's dermofasciectomy and graft, or for recurrent disease - multiple digits
- X2260: Open reduction and Frog POP for congenital dislocation of hip (including traction and innominate/femoral osteotomy)
- W2100: Primary open reduction of intra-articular fracture of long bone with internal fixation, e.g. proximal humerus or proximal tibia (+/- arthroscopic assistance)
- W6017: Arthroscopic ankle arthrodesis with internal fixation
- A6110: Excision of lesion of peripheral nerve
- W8640: Complex therapeutic arthroscopy of ankle, with multiple bony, joint surface and soft tissue procedures +/- ligament reconstruction (as sole procedure)
- W0463: Complex procedure to mid foot and hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
- T6780: Primary repair of Achilles tendon
- W1641: Osteotomy of short bone of hand (including fixation and bone grafting)
- T6782: Repair of distal biceps tendon
- W6016: Open ankle arthrodesis with autogenous graft
- W1660: Tibial osteotomy
- T5210: Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints
- T6980: Tenolysis, of flexor tendon (not otherwise specified)
- W0860: Metatarsophalangeal cheilectomy (as sole procedure) - 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
- T6762: Repair of tendon of foot - flexor
- W5980: Fusion of interphalangeal joint(s) of toe (including internal fixation) - bilateral
- A7350: Local anaesthetic blockade of named major nerve or plexus
- T8050: Surgical release of humeral epicondylitis (lateral or medial) (e.g. Tennis Elbow")"
- W8630: Therapeutic arthroscopy of ankle with either soft tissue procedure or bony +/or joint surface procedure (as sole procedure)
- W8300: Therapeutic arthroscopy operation on articular cartilage (other than W8200) - unilateral (as sole procedure)
- W7910: Metatarsal osteotomy (e.g. Scarf) for hallux vagus, +/- internal fixation +/- soft tissue correction - unilateral
- W1080: Osteotomy of long bone, +/- fixation (including graft)
- W7400: Reconstruction of one or two ligaments not elsewhere specified
- W1040: Osteotomy of short bone of foot (excluding hallux valgus and including internal fixation)
- A6900: Revision of release of peripheral nerve
- T6402: Tendon transfer of hand - single
- W6200: Total fusion of all joints of wrist +/- graft & +/- internal fixation
- T6800: Delayed or secondary repair of tendon (including graft, transfer and/or prosthesis) (not otherwise specified)
- 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)
- W2580: Closed reduction of fracture of short bone with external fixator
- W6019: Ankle syndesmosis reconstruction
- W8230: Arthroscopic meniscal repair
- T8003: Major release of muscle for pain or contracture (e.g. Quadriceps) (involving large joint)
- T5250: Endoscopic plantar fascia release
- W4410: Total prosthetic replacement of ankle joint
- W0420: Triple fusion of joints of hindfoot without autogenous graft
- W5700: Excision arthroplasty of first metatarsophalangeal joint with prosthetic implantation or interpositional arthroplasty - unilateral
- W0464: Complex procedure to mid foot and hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers, fixation)
- W3030: Removal of external fixation from bone
- W0323: Revision of osteotomy/ies (eg Scarf and Akin) for hallux valgus correction +/- internal fixation +/- soft tissue correction - unilateral
- W6912: Total synovectomy of small joint
- T5900: Excision of ganglion
- W0462: Complex procedure to mid foot or hindfoot with autogenous bone graft (osteotomy/fusion +/- tendon transfers/fixation)
- T6820: Secondary repair or reconstruction of extensor of hand/forearm
- T6770: Peroneal sling/groove reconstruction & replacement of dislocated peroneal tendons
- W3200: Open reduction and internal fixation of cancellous bone graft scaphoid non-union
- W0434: Isolated subtalar fusion or midfoot fusion without autogenous graft
- W9030: Injection(s) +/- aspiration, into joint, cyst, bursa with image guidance - unilateral
- W6630: Primary closed reduction of fracture or dislocation of joint, +/- fixation (including cast application)
- W0330: Fusion of first metatarsophalangeal joint - unilateral
- W5930: Fusion of digit joint(s) of hand +/- graft & +/- internal fixation
- W2582: Closed reduction of fracture of short bone (including cast or percutaneous K-wires)
- W1920: Primary open reduction of long bone with fixation
- W8880: Arthroscopy of elbow (as sole procedure)
- T5203: Dupuytren's fasciectomy single digit with proximal interphalangeal joint
- W0460: Complex procedure to mid foot or hindfoot without autogenous bone graft (osteotomy/fusion +/- tendon transfers)
- W3202: Open reduction and internal fixation wedge reconstruction bone graft scaphoid non-union
- T5222: Dupuytren's dermofasciectomy and graft, or for recurrent disease - single digit
Related codes
Frequently asked questions
What is the procedure code for change of cast under general anaesthetic (as sole procedure)?
The procedure code is X4822: Change of cast under general anaesthetic (as sole procedure).
Which insurers list X4822?
X4822 is listed by Bupa, AXA Health, Vitality and WPA. Always confirm the code and cover with your insurer.
Can X4822 be billed with other procedures?
The coding rules say X4822 cannot be billed together with 39 other codes, including X4810 (Change of cast without general anaesthetic (as sole procedure)), T6762 (Repair of tendon of foot - flexor), T6763 (Repair of tendon of foot - extensor). 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