Code Details & Principles for B3016
Code details & principles for
B3016
- Chapter 7 / Reconstruction
| Code | Description | Chapter/Sub-Chapter | Code Specific Guidance |
|---|---|---|---|
| B3016 | Mastectomy and immediate reconstruction of breast using fat transfer | 7.3.0 Reconstruction |
Unacceptable Combinations for B3016
| 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 |
| B2918 | Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) - unilateral | 2015-11-30 |
| B3015 | Reconstruction of breast using fixed prosthesis (including delayed reconstruction) | 2010-01-20 |
| B3017 | Reconstruction of breast using fat transfer (including delayed reconstruction) | 2010-01-20 |
| B3018 | Revision reconstruction of breast using fat transfer | 2010-01-20 |
| B3020 | Fat transfer, (as sole procedure, including extraction and transfer for volume adjustment following mastectomy and reconstruction) | 2011-11-04 |
| 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 |
| S4950 | Fat transfer, including extraction and volume adjustment, of scar defect following trauma (excluding breast) | 2013-10-04 |
| 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