Code Details & Principles for B2800

Code details & principles for

B2800

  • Chapter 7 / Excision/Biopsy codes
Code Description Chapter/Sub-Chapter Code Specific Guidance
B2800 Excision of breast lump/fibroadenoma 7.1.0 Excision/Biopsy codes

Unacceptable Combinations for B2800

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
B2752 Subcutaneous mastectomy 2010-01-20
B2760 Skin/nipple sparing mastectomy (including axillary node biopsy) - unilateral 2010-01-20
B2761 Skin/nipple sparing mastectomy (including axillary node biopsy) - bilateral 2021-04-22
B2780 Simple mastectomy (including axillary node biopsy) - unilateral 2013-10-04
B2781 Simple mastectomy including axillary node biopsy - bilateral 2010-07-01
B2782 Prophylactic mastectomy - unilateral 2010-01-20
B2783 Prophylactic mastectomy - bilateral 2010-01-20
B2820 Wide local excision of breast +/- local mobilisation of glandular breast tissue to fill surgical cavity 2014-06-18
B2830 Re-excision of lesion of breast if resection margins are not clear (as sole procedure) 2010-01-20
B2831 Re-excision of lesion of breast if resection margins are not clear with local mobilisation 2013-08-20
B2880 Excision biopsy of breast lesion after localisation 2010-01-20
B2890 Ultrasound guided interstitial laser ablation of breast lesion 2010-01-20
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
B3140 Therapeutic mammoplasty for breast cancer 2012-12-09
B3180 Implantation of prosthesis into breast (as sole procedure) 2011-03-11
GA303 Chest reconstruction for gender affirmation (as sole procedure) - bilateral 2024-10-08
S4760 Fine needle aspiration cytology 2015-12-22
T8700 Excision biopsy of lymph node for diagnosis (cervical, inguinal, axillary) 2010-01-20
XR121 Unilateral image guided vacuum assisted excision of breast lesion (with biopsy) 2010-01-20
XR160 Percutaneous image guided fine needle aspiration(s) (FNA) - unilateral 2014-08-06
XR161 Percutaneous image guided fine needle aspiration(s) (FNA) - bilateral 2019-01-23

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