Code Details & Principles for GA302
Code details & principles for
GA302
- Chapter 22 / Gender Affirmation
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| GA302 | Chest reconstruction for gender affirmation (as sole procedure) - unilateral | 22.0.0 Gender Affirmation |
Unacceptable Combinations for GA302
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| B2912 | Mastectomy and immediate reconstruction of breast using latissimus dorsi | 2010-01-20 |
| B2913 | Reconstruction of breast using latissimus dorsi including implantation of prosthesis (including delayed reconstruction) | 2013-06-03 |
| B2914 | Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - bilateral | 2016-02-04 |
| B2915 | Reconstruction of breast using extended latissimus dorsi flap (including delayed reconstruction) | 2011-06-03 |
| B2916 | Mastectomy and immediate reconstruction of breast using extended latissimus dorsi flap | 2011-01-20 |
| 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 |
| B2919 | Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) - bilateral | 2017-02-01 |
| B2921 | Lumpectomy and immediate partial reconstruction of breast using pedicled perforator flap (eg. Lateral Intercostal Artery Perforator (LICAP) or Thoraco-Dorsal Artery Perforator (TDAP)) | 2014-04-03 |
| B2922 | Partial reconstruction of breast using pedicled perforator flap (eg. Lateral Intercostal Artery Perforator (LICAP) or Thoraco-Dorsal Artery Perforator (TDAP) including delayed reconstruction) | 2014-04-03 |
| 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 |
| B2984 | Reconstruction of breast using pedicled TRAM (including delayed reconstruction) | 2010-01-20 |
| B2985 | Reconstruction of breast using free TRAM (including delayed reconstruction) | 2010-01-20 |
| B2986 | Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (single flap) | 2011-03-11 |
| B2987 | Reconstruction of breast using transverse upper gracilis (TUG) flap (including delayed reconstruction and nipple reconstruction) | 2010-01-20 |
| B2988 | Reconstruction of breast using ALT (anterolateral thigh) flap (including delayed reconstruction) | 2011-11-15 |
| GA300 | Subcutaneous mastectomy with related chest reconstruction for gender affirmation - unilateral | 2024-10-08 |
| GA301 | Subcutaneous mastectomy with related chest reconstruction for gender affirmation - bilateral | 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