Code Details & Principles for B3012
Code details & principles for
B3012
- Chapter 7 / Reconstruction
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| B3012 | Mastectomy and immediate reconstruction of breast using expandable prosthesis - unilateral | 7.3.0 Reconstruction |
Unacceptable Combinations for B3012
| CCSD Code (unacceptable combination) | Narrative (unacceptable combination) | Date Added |
|---|---|---|
| B2783 | Prophylactic mastectomy - bilateral | 2010-01-20 |
| B2784 | Mastectomy for gynaecomastia - unilateral | 2010-01-20 |
| B2785 | Mastectomy for gynaecomastia - bilateral | 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 |
| B2919 | Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) - bilateral | 2017-02-01 |
| 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 |
| B3014 | Reconstruction of breast using expandable prosthesis (including delayed reconstruction) | 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 |
| 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