The National Institute for Health and Clinical Excellence (NICE) has issued full guidance to the NHS in England, Wales, Scotland and Northern Ireland on Shoulder resurfacing arthroplasty.
Degenerative disease (such as osteoarthritis and rheumatoid arthritis) can cause pain in the shoulder, particularly when the arm is moved.
Shoulder resurfacing involves joint replacement surgery (arthroplasty). Using open surgery, the end of the upper arm bone is reshaped, a small anchoring hole is drilled into the bone and an artificial shoulder joint is placed onto it.
One of the following codes is used depending on whether cement is used or not, or not known:
W49.4 Resurfacing hemiarthroplasty of head of humerus using cement
W50.4 Resurfacing hemiarthroplasty of head of humerus not using cement
W51.5 Resurfacing hemiarthroplasty of head of humerus NEC
If both the humerus and the glenoid surface of the scapula are resurfaced then the appropriate codes are:
W58.1 Primary resurfacing arthroplasty of joint
Z81.3 Glenohumeral joint
The NHS Classifications Service of the Health and Social Care Information Centre 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. http://systems.hscic.gov.uk/data/clinicalcoding