Chapter 7 / Breast


7.1 - Excision/biopsy codes

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



B2800 Excision of breast lump/fibroadenoma Intermediate £240.00 £165.00 Show arrow
B2820 Wide local excision of breast +/- local mobilisation of glandular breast tissue to fill surgical cavity Intermediate £360.00 £165.00 Show arrow
B2830 Re-excision of lesion of breast if resection margins are not clear (as sole procedure) Intermediate £240.00 £165.00 Show arrow
B2880 Excision biopsy of breast lesion after localisation Intermediate £400.00 £165.00 Show arrow
B3212 Percutaneous suction core biopsy Minor £120.00 £110.00 Show arrow
B3220 Core biopsy of lesion of breast Minor £120.00 £110.00 Show arrow
T9000 Sentinel node mapping and sampling with blue dye or radioactive probe for breast cancer Intermediate £400.00 £165.00 Show arrow
T9020 Sentinel node mapping and sampling with blue dye and radioactive probe for breast cancer Intermediate £400.00 £165.00 Show arrow
B2831 Re-excision of lesion of breast if resection margins are not clear with local mobilisation Intermediate £240.00 £165.00 Show arrow
T9030 Intraoperative sentinel node mapping, using One Step Nucleic Acid Amplification (OSNA), for breast cancer Intermediate £400.00 £165.00 Show arrow

7.2 - Mastectomy (excluding implant/reconstruction)

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



B2710 Radical mastectomy including block dissection Major £520.00 £275.00 Show arrow
B2742 Modified radical mastectomy including lymph node sampling Major £440.00 £220.00 Show arrow
B2743 Modified radical mastectomy excluding lymph node sampling Major £440.00 £220.00 Show arrow
B2760 Skin/Nipple sparing mastectomy (including axillary node biopsy) Major £360.00 £220.00 Show arrow
B2744 Modified radical mastectomy including lymph node clearance Major £440.00 £220.00 Show arrow
B2752 Subcutaneous mastectomy Major £360.00 £220.00 Show arrow
B2780 Simple mastectomy (including axillary node biopsy) – unilateral Major £360.00 £220.00 Show arrow
B3042 Mastectomy and immediate reconstruction of breast using expandable prosthesis - bilateral Extra Major £660.00 £412.00
B3043 Mastectomy and immediate reconstruction of breast using fixed prosthesis - bilateral Extra Major £660.00 £412.00

7.3 - Reconstruction

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



B2700 Subcutaneous mastectomy with immediate implant Major £440.00 £275.00 Show arrow
B2912 Mastectomy and immediate reconstruction of breast using latissimus dorsi Xmajor £1,000.00 £440.00 Show arrow
B2913 Reconstruction of breast using latissimus dorsi including implantation of prosthesis (including delayed reconstruction) Xmajor £640.00 £440.00 Show arrow
B2914 Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - bilateral Complex £3,600.00 £1,800.00
B2915 Reconstruction of breast using extended latissimus dorsi flap (including delayed reconstruction) Complex £1,120.00 £550.00 Show arrow
B2916 Mastectomy and immediate reconstruction of breast using extended latissimus dorsi flap Xmajor £1,320.00 £440.00 Show arrow
B2917 Reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) (including delayed reconstruction) Major £480.00 £250.00 Show arrow
B2918 Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) - unilateral Xmajor £600.00 £275.00 Show arrow
B2984 Reconstruction of breast using pedicled TRAM (including delayed reconstruction) Complex £1,040.00 £495.00 Show arrow
B2985 Reconstruction of breast using free TRAM (including delayed reconstruction Complex £1,040.00 £495.00 Show arrow
B2986 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (Single Flap) Complex £2,200.00 £1,100.00 Show arrow
B2996 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral (single flap per breast) Complex £3,300.00 £1,650.00 Show arrow
B2989 Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - unilateral Complex £2,400.00 £1,200.00 Show arrow
B2987 Reconstruction of breast using Transverse Upper Gracilis (TUG) flap (including delayed reconstruction and nipple reconstruction) Complex £2,200.00 £1,100.00 Show arrow
B2988 Reconstruction of breast using ALT (anteriolateral thigh) flap including delayed reconstruction Complex £2,200.00 £1,100.00 Show arrow
B2921 Lumpectomy and immediate partial reconstruction of breast using pedicled perforator flap (eg. Lateral Intercostal Artery Perforator (LICAP) or Thoraco-Dorsal Artery Perforator (TDAP)) Xmajor £800.00 £500.00 Show arrow
B2922 Partial reconstruction of breast using pedicled perforator flap (eg. Lateral Intercostal Artery Perforator (LICAP) or Thoraco-Dorsal Artery Perforator (TDAP) including delayed reconstruction) Xmajor £800.00 £500.00 Show arrow
B2999 Reconstruction of breast using stacked deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral (2 flaps) Complex £2,200.00 £1,100.00 Show arrow
B2991 Laparoscopic mobilisation of the greater omentum for reconstruction of breast (including delayed reconstruction) Major £440.00 £275.00 Show arrow
B3012 Mastectomy and immediate reconstruction of breast using expandable prosthesis - unilateral Xmajor £440.00 £275.00 Show arrow
B3013 Mastectomy and immediate reconstruction of breast using fixed prosthesis - unilateral Xmajor £440.00 £275.00 Show arrow
B3014 Reconstruction of breast using expandable prosthesis (including delayed reconstruction) Major £320.00 £220.00 Show arrow
B3015 Reconstruction of breast using fixed prosthesis (including delayed reconstruction) Major £320.00 £220.00 Show arrow
B3016 Mastectomy and immediate reconstruction of breast using fat transfer Xmajor £520.00 £275.00 Show arrow
B3180 Implantation of prosthesis into breast as sole procedure Intermediate £320.00 £220.00 Show arrow
B3580 Nipple areola complex reconstruction +/- liposuction and fat transfer Major £480.00 £440.00 Show arrow
B3810 Reconstruction of breast using SGAP (superior gluteal artery perforator) flap including delayed reconstruction. Complex £2,000.00 £1,100.00 Show arrow
B2981 LOCAL MOBILISATION OF GLANDULAR BREAST TISSUE TO FILL SURGICAL CAVITY INT £360.00 £165.00 Show arrow
B3309 Removal And Reinsertion Of Existing Prosthesis Into The Breast (Including Capsulectomy) - Bilateral Major £480.00 £165.00
B3700 Removal of port or valve from permanent expandable breast prosthesis +/- image guidance Minor £120.00 £0.00

7.4 - Other

Code Description Hospital Complexity Procedure Fees Fee For General Anaesthesia
Unacceptable Combinations
Additional Information



B3310 Drainage of breast abscess including haematoma and seroma Minor £160.00 £165.00 Show arrow
B3440 Microdochotomy Intermediate £240.00 £165.00 Show arrow
B3592 Micropigmentation (tattooing) of nipple areola complex Minor £160.00 £0.00 Show arrow
B3593 Microdochectomy or mammodochectomy (Hadfield’s procedure) Intermediate £280.00 £165.00 Show arrow
B3594 Plastic procedures on nipple Intermediate £280.00 £165.00 Show arrow
B3595 Excision of mammary fistula Intermediate £280.00 £165.00 Show arrow
B3100 Reduction mammoplasty - unilateral Major £480.00 £275.00 Show arrow
B3120 Augmentation Mammoplasty - Unilateral Major £480.00 £275.00 Show arrow
B3130 Unilateral Mastopexy Extra Major £480.00 £275.00 Show arrow



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