Code Details & Principles for B2820
Code details & principles for
B2820
- Chapter 7 / Excision/Biopsy codes
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| B2820 | Wide local excision of breast +/- local mobilisation of glandular breast tissue to fill surgical cavity | 7.1.0 Excision/Biopsy codes |
Unacceptable Combinations for B2820
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Code Added |
|---|---|---|
| B2710 | Radical mastectomy (including block dissection) | Pre 2025 |
| B2742 | Modified radical mastectomy (including lymph node sampling) | Pre 2025 |
| B2743 | Modified radical mastectomy excluding lymph node sampling | Pre 2025 |
| B2744 | Modified radical mastectomy (including lymph node clearance) | Pre 2025 |
| B2752 | Subcutaneous mastectomy | Pre 2025 |
| B2780 | Simple mastectomy (including axillary node biopsy) - unilateral | Pre 2025 |
| B2782 | Prophylactic mastectomy - unilateral | Pre 2025 |
| B2783 | Prophylactic mastectomy - bilateral | Pre 2025 |
| B2800 | Excision of breast lump/fibroadenoma | Pre 2025 |
| B2830 | Re-excision of lesion of breast if resection margins are not clear (as sole procedure) | Pre 2025 |
| B2831 | Re-excision of lesion of breast if resection margins are not clear with local mobilisation | Pre 2025 |
| B2880 | Excision biopsy of breast lesion after localisation | Pre 2025 |
| B2890 | Ultrasound guided interstitial laser ablation of breast lesion | Pre 2025 |
| B2916 | Mastectomy and immediate reconstruction of breast using extended latissimus dorsi flap | Pre 2025 |
| B2921 | Lumpectomy and immediate partial reconstruction of breast using pedicled perforator flap (eg. Lateral Intercostal Artery Perforator (LICAP) or Thoraco-Dorsal Artery Perforator (TDAP)) | Pre 2025 |
| B2981 | Local mobilisation of glandular breast tissue to fill surgical cavity | Pre 2025 |
| B3016 | Mastectomy and immediate reconstruction of breast using fat transfer | Pre 2025 |
| B3140 | Therapeutic mammoplasty for breast cancer | Pre 2025 |
| B3180 | Implantation of prosthesis into breast (as sole procedure) | Pre 2025 |
| B3440 | Microdochotomy | Pre 2025 |
| B3593 | Microdochectomy or mammodochectomy (Hadfield's procedure) | Pre 2025 |
| B3595 | Excision of mammary fistula | Pre 2025 |
| GA303 | Chest reconstruction for gender affirmation (as sole procedure) - bilateral | Pre 2025 |
| XR121 | Unilateral image guided vacuum assisted excision of breast lesion (with biopsy) | Pre 2025 |
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