Code Details & Principles for B2996
Code details & principles for
B2996
- Chapter 7 / Reconstruction
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| B2996 | Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (single flap per breast) | 7.3.0 Reconstruction |
Unacceptable Combinations for B2996
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| B2914 | Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - bilateral | 2016-02-04 |
| B2986 | Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (single flap) | 2011-03-11 |
| B2989 | Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - unilateral | 2010-12-09 |
| B2992 | Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) with vascularised lymph node transfer (including delayed reconstruction) - bilateral | 2015-06-04 |
| B2993 | Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (2 flaps per breast) | 2017-12-11 |
| B2996 | Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (single flap per breast) | 2015-05-06 |
| B2996 | Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (single flap per breast) | 2015-05-06 |
| B2999 | Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (2 flaps) | 2017-12-11 |
| B3012 | Mastectomy and immediate reconstruction of breast using expandable prosthesis - unilateral | 2010-01-20 |
| B3013 | Mastectomy and immediate reconstruction of breast using fixed prosthesis - unilateral | 2010-01-20 |
| B3042 | Mastectomy and immediate reconstruction of breast using expandable prosthesis - bilateral | 2019-05-31 |
| B3043 | Mastectomy and immediate reconstruction of breast using fixed prosthesis - - bilateral | 2019-05-31 |
| B3120 | Augmentation mammoplasty - unilateral | 2010-01-20 |
| B3121 | Augmentation mammoplasty - bilateral | 2010-01-20 |
| B3132 | Bilateral mastopexy (following reconstruction) | 2017-12-11 |
| B3140 | Therapeutic mammoplasty for breast cancer | 2012-12-09 |
| GA303 | Chest reconstruction for gender affirmation (as sole procedure) - bilateral | 2024-10-08 |
| GA304 | Augmentation mammoplasty for gender affirmation +/- implant, +/- fat transfer - unilateral | 2024-10-08 |
| GA305 | Augmentation mammoplasty for gender affirmation +/- implant, +/- fat transfer - 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 |
| T7620 | Free functioning muscle transfer (as sole procedure) (including closure of secondary defect) | 2011-11-04 |
| 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