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 Added |
|---|---|---|
| B2710 | Radical mastectomy (including block dissection) | 2011-11-04 |
| B2742 | Modified radical mastectomy (including lymph node sampling) | 2011-11-04 |
| B2743 | Modified radical mastectomy excluding lymph node sampling | 2010-01-20 |
| B2744 | Modified radical mastectomy (including lymph node clearance) | 2011-11-04 |
| B2752 | Subcutaneous mastectomy | 2010-01-20 |
| B2780 | Simple mastectomy (including axillary node biopsy) - unilateral | 2013-10-04 |
| B2782 | Prophylactic mastectomy - unilateral | 2010-01-20 |
| B2783 | Prophylactic mastectomy - bilateral | 2010-01-20 |
| B2800 | Excision of breast lump/fibroadenoma | 2012-12-09 |
| 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 |
| B2916 | Mastectomy and immediate reconstruction of breast using extended latissimus dorsi flap | 2011-01-20 |
| 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 |
| B2981 | Local mobilisation of glandular breast tissue to fill surgical cavity | 2013-05-08 |
| B3016 | Mastectomy and immediate reconstruction of breast using fat transfer | 2010-01-20 |
| B3140 | Therapeutic mammoplasty for breast cancer | 2012-12-09 |
| B3180 | Implantation of prosthesis into breast (as sole procedure) | 2011-03-11 |
| B3440 | Microdochotomy | 2010-01-20 |
| B3593 | Microdochectomy or mammodochectomy (Hadfield's procedure) | 2011-03-11 |
| B3595 | Excision of mammary fistula | 2011-03-11 |
| GA303 | Chest reconstruction for gender affirmation (as sole procedure) - bilateral | 2024-10-08 |
| XR121 | Unilateral image guided vacuum assisted excision of breast lesion (with biopsy) | 2010-01-20 |
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