Shoulder resurfacing arthroplasty (IPG354)
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
W51.4 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 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. www.connectingforhealth.co.uk/clinicalcoding
- IPG354 Shoulder resurfacing arthroplasty: guidance (Web format)
- Shoulder resurfacing arthroplasty: consultation comments table
- IPG354 Shoulder resurfacing arthroplasty: understanding NICE guidance
- Shoulder resurfacing arthroplasty - Interventional Procedures Consultation Document
- Shoulder resurfacing arthroplasty - Interventional Procedures Overview
This page was last updated: 15 June 2012
- Web format
- Full Guidance (PDF)
- IPG354 Gosod arwyneb newydd i'r ysgwydd deall canllawiau NICE (fformat MS Word)
Information for the public
Implementation tools and resources
- None available
The summary of the key recommendations in the guidance written for patients, carers and those with little medical knowledge and may be used in local patient information leaflets.
Quick Reference Guide
The quick reference guide presents recommendations for health professionals
The published NICE clinical guidance, contains the recommendations for health professionals and NHS bodies.
The published full clinical guidance for specialists with background, evidence, recommendations and methods used.