Code Details & Principles for B3038
Code details & principles for
B3038
- Chapter 7 / Reconstruction
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| B3038 | Removal and reinsertion of existing prosthesis into the breast (including capsulectomy) - unilateral | 7.3.0 Reconstruction |
Unacceptable Combinations for B3038
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| B3032 | Removal of prosthesis from breast (including capsulectomy) | 2011-11-04 |
| B3033 | Simple removal of prosthesis from breast | 2010-01-20 |
| B3037 | Removal and replacement of prosthesis into the breast (including capsulectomy) - bilateral | 2020-08-06 |
| B3039 | Removal and reinsertion of existing prosthesis into the breast (including capsulectomy) - bilateral | 2020-08-07 |
| 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 |
| 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