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.


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.

Coding recommendations

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