Code Details & Principles for B2916

Code details & principles for

B2916

  • Chapter 7 / Reconstruction
Code Description Chapter/Sub-Chapter Code Specific Guidance
B2916 Mastectomy and immediate reconstruction of breast using extended latissimus dorsi flap 7.3.0 Reconstruction

Unacceptable Combinations for B2916

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
B2780 Simple mastectomy (including axillary node biopsy) - unilateral 2013-10-04
B2820 Wide local excision of breast +/- local mobilisation of glandular breast tissue to fill surgical cavity 2014-06-18
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
B2918 Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) - unilateral 2015-11-30
B2989 Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - unilateral 2010-12-09
B2993 Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (2 flaps per breast) 2017-12-11
B3015 Reconstruction of breast using fixed 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
B3180 Implantation of prosthesis into breast (as sole procedure) 2011-03-11
GA302 Chest reconstruction for gender affirmation (as sole procedure) - unilateral 2024-10-08
GA303 Chest reconstruction for gender affirmation (as sole procedure) - bilateral 2024-10-08
T8620 Sampling of axillary lymph nodes 2013-06-04
T8700 Excision biopsy of lymph node for diagnosis (cervical, inguinal, axillary) 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