Code Details & Principles for B2921

Code details & principles for

B2921

  • Chapter 7 / Reconstruction
Code Description Chapter/Sub-Chapter Code Specific Guidance
B2921 Lumpectomy and immediate partial reconstruction of breast using pedicled perforator flap (eg. Lateral Intercostal Artery Perforator (LICAP) or Thoraco-Dorsal Artery Perforator (TDAP)) 7.3.0 Reconstruction

Unacceptable Combinations for B2921

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
B2800 Excision of breast lump/fibroadenoma 2012-12-09
B2820 Wide local excision of breast +/- local mobilisation of glandular breast tissue to fill surgical cavity 2014-06-18
B2830 Re-excision of lesion of breast if resection margins are not clear (as sole procedure) 2010-01-20
B2831 Re-excision of lesion of breast if resection margins are not clear with local mobilisation 2013-08-20
B2880 Excision biopsy of breast lesion after localisation 2010-01-20
B2890 Ultrasound guided interstitial laser ablation of breast lesion 2010-01-20
B2917 Reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) (including delayed reconstruction) - unilateral 2015-11-30
B2918 Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) - unilateral 2015-11-30
B2927 Reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) (including delayed reconstruction) - bilateral 2021-04-22
B2981 Local mobilisation of glandular breast tissue to fill surgical cavity 2013-05-08
B3014 Reconstruction of breast using expandable prosthesis (including delayed reconstruction) 2010-01-20
B3015 Reconstruction of breast using fixed prosthesis (including delayed reconstruction) 2010-01-20
B3017 Reconstruction of breast using fat transfer (including delayed reconstruction) 2010-01-20
B3018 Revision reconstruction of breast using fat transfer 2010-01-20
B3180 Implantation of prosthesis into breast (as sole procedure) 2011-03-11
B3212 Percutaneous suction core biopsy 2010-01-20
B3220 Core biopsy of lesion of breast - unilateral 2010-01-20
GA302 Chest reconstruction for gender affirmation (as sole procedure) - unilateral 2024-10-08
GA303 Chest reconstruction for gender affirmation (as sole procedure) - bilateral 2024-10-08

Coding Principles

These coding principles set out how the authors intend that the codes and narratives within the CCSD Schedule are interpreted and used. The outputs are available to be used by all individual insurers and providers including CCSD and non-CCSD members. Please note that:

  • The CCSD Group does not discuss nor determine classifcations, reimbursement or fees - all insurers will have their own view on these matters
  • The inclusion of a procedure code and/or its associated coding principles in the CCSD Schedule does not necessarily mean that it is endorsed by all members of the CCSD Group and codes may or may not be included in individual insurers' own Schedules or covered
  • The coding principles are non-exhaustive guidelines only - each individual insurer may choose whether or not to adopt an individual combination of codes in practice and you will need to contact the insurer for further information