The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on total wrist replacement.

  • Description

    Arthritis is a condition that causes swelling and damage to the cartilage and bone around the joints, including the wrist. It is painful and can reduce the function of the joint. Total wrist replacement aims to create an artificial wrist joint consisting of metal implants attached to the end of the arm and to the hand, separated by a spacer to allow movement of the hand.

  • OPCS4.6 Code(s)

    A code from one of the following categories is selected as appropriate:

    W43.- Total prosthetic replacement of other joint using cement


    W44.- Total prosthetic replacement of other joint not using cement


    W45.- Other total prosthetic replacement of other joint

    Plus an additional site code Z82.9 Joint of wrist or hand NEC


    The NHS Classifications Service of NHS Connecting for Health is the central definitive source for clinical coding guidance and determines the coding standards associated with the classifications (OPCS-4 and ICD-10) to be used across the NHS.   The NHS Classifications Service and NICE work collaboratively to ensure the most appropriate classification codes are provided.

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