Code Details & Principles for S2500

Code details & principles for

S2500

  • Chapter 15 / Flaps
Code Description Chapter/Sub-Chapter Code Specific Guidance
S2500 Local flap - less than 9cm2 15.4.1 Flaps

Unacceptable Combinations for S2500

CCSD Code (unacceptable combination) Narrative (unacceptable combination) Date Added
B0410 Transsphenoidal hypophysectomy (including total) 2012-12-14
B2914 Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - bilateral 2016-02-04
B2986 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (single flap) 2011-03-11
B2989 Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - unilateral 2010-12-09
B2990 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) with vascularised lymph node transfer (including delayed reconstruction) - unilateral 2014-11-06
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
B2999 Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (2 flaps) 2017-12-11
B3130 Unilateral mastopexy (following reconstruction) 2013-04-08
C1512 Correction of lower lid ectropion without graft/flap 2010-01-20
C1513 Correction of lower lid ectropion with graft/flap 2010-01-20
C1522 Correction of entropion - lower lid, including graft/flap 2012-04-27
C1523 Correction of entropion - upper lid (including graft/flap) 2011-11-04
GA303 Chest reconstruction for gender affirmation (as sole procedure) - bilateral 2024-10-08
H5561 Endoscopic ablation for an anal fistula with flap 2019-07-16
S0520 Microscopically controlled excision of lesion of skin or subcutaneous tissue (Mohs micrographic surgery) with immediate reconstruction 2013-07-23
S0521 Microscopically controlled excision of lesion of skin or subcutaneous tissue (Mohs micrographic surgery) without reconstruction 2015-11-30
S0521 Microscopically controlled excision of lesion of skin or subcutaneous tissue (Mohs micrographic surgery) without reconstruction 2015-11-30
S1500 Biopsy of skin or subcutaneous tissue 2011-03-11
S2502 Local flap - 9cm2 or more (excluding graft/flap to secondary defect) 2010-01-20
S2503 Local flap - 9cm2 or more (including graft/flap to secondary defect) 2010-01-20
S3100 Re-exploration of free flap 2010-01-20
S3102 Thinning of skin graft flap 2010-01-20
S4230 Secondary suture of skin 2010-01-20
T2400 Repair of umbilical/paraumbilical hernia (irrespective of age) 2010-01-20
T2403 ?<table border='0' cellpadding='0' cellspacing='0' width='64' style='width: 48pt;'><tbody><tr height='20' style='height:15.0pt'><td height='20' width='64' style='height:15.0pt;width:48pt'>Repair of umbilica/paraumbilical hernia requiring removal of previously inserted mesh</td></tr></tbody></table> 2020-02-14
T2409 Robotic assisted repair of umbilical/paraumbilical hernia requiring mesh 2024-02-07
T2410 Robotic assisted repair of umbilical/paraumbilical hernia not requiring mesh 2024-02-07
T2411 Robotic assisted repair of recurrent umbilical/paraumbilical hernia requiring mesh 2024-02-07
T2412 Robotic assisted repair of recurrent umbilical/paraumbilical hernia not requiring mesh 2024-02-07
T5203 Dupuytren's fasciectomy single digit with proximal interphalangeal joint 2010-01-20
T5210 Dupuytren's fasciectomy multiple digits with proximal interphalangeal joints 2010-01-20
T5222 Dupuytren's dermofasciectomy and graft, or for recurrent disease - single digit 2010-01-20
T5223 Dupuytren's dermofasciectomy and graft, or for recurrent disease - multiple digits 2010-01-20
T5410 Dupuytren's subcutaneous fasciotomy 2010-01-20
W0951 Radical clearance of sarcoma of head and neck necessitating flap reconstruction 2010-01-20
X0822 Amputation of whole ray 2010-01-20
X0930 Amputation of leg above knee 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