Code Details & Principles for B2990

Code details & principles for

B2990

  • Chapter 7 / Reconstruction
Code Description Chapter/Sub-Chapter Code Specific Guidance
B2990 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) with vascularised lymph node transfer (including delayed reconstruction) - unilateral 7.3.0 Reconstruction

Unacceptable Combinations for B2990

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
B2915 Reconstruction of breast using extended latissimus dorsi flap (including delayed reconstruction) 2011-06-03
B3015 Reconstruction of breast using fixed prosthesis (including delayed reconstruction) 2010-01-20
GA303 Chest reconstruction for gender affirmation (as sole procedure) - bilateral 2024-10-08
S1700 Distant flap - delay/division/inset 2010-01-20
S1740 Large myocutaneous (muscular/cutaneous) flap (9cm2 or more) (including closure of secondary defect) 2011-11-04
S1750 Large muscle flap (9cm2 or more) (including skin graft and closure of secondary defect) 2011-11-04
S1900 Distant pedicle flap - elevation including transfer (including closure/grafting to secondary defect) 2010-01-20
S2000 Large island skin flap (9cm2 or more) (e.g. radial forearm) (including closure of secondary defect) 2011-11-04
S2002 Small island flap (less than 9cm2) 2010-01-20
S2220 Neurovascular island flap 2010-01-20
S2500 Local flap - less than 9cm2 2013-03-03
S2502 Local flap - 9cm2 or more (excluding graft/flap to secondary defect) 2010-01-20
S2503 Local flap - 9cm2 or more (including graft/flap to secondary defect) 2010-01-20
S3500 Split autograft of skin, trunk and limbs - up to 25cm2 2011-03-11
S3530 Split autograft of skin, trunk and limbs - over 25cm2 and up to 5% of body surface area 2011-03-11
S3532 Split autograft of skin, trunk and limbs - each additional 5% of body surface area 2010-01-20
S3622 Full thickness graft, trunk and limbs - up to 9cm2 in area 2011-03-11
S3623 Full thickness graft, trunk and limbs - each additional 25cm2 in area 2010-01-20
T7602 Microvascular free tissue transfer (when added to other codes) (including closure of secondary defect) 2011-11-04
T7603 Microvascular free tissue transfer (as sole procedure including closure of secondary defect) 2010-01-20
T7620 Free functioning muscle transfer (as sole procedure) (including closure of secondary defect) 2011-11-04
T8620 Sampling of axillary lymph nodes 2013-06-04
T8700 Excision biopsy of lymph node for diagnosis (cervical, inguinal, axillary) 2010-01-20
W3180 Free composite (i.e. including bone) vascularised grafts 2010-01-20

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