Chapter 7 / Breast


7.1 - Excision/biopsy codes

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



B2800 Excision of breast lump/fibroadenoma Intermediate £300.00 £165.00 Show arrow
B2820 Wide local excision of breast +/- local mobilisation of glandular breast tissue to fill surgical cavity Intermediate £450.00 £165.00 Show arrow
B2830 Re-excision of lesion of breast if resection margins are not clear (as sole procedure) Intermediate £300.00 £165.00 Show arrow
B2880 Excision biopsy of breast lesion after localisation Intermediate £500.00 £165.00 Show arrow
B3212 Percutaneous suction core biopsy Minor £150.00 £110.00 Show arrow
B3220 Core biopsy of lesion of breast Minor £150.00 £110.00 Show arrow
T9000 Sentinel node mapping and sampling with blue dye or radioactive probe for breast cancer Intermediate £500.00 £165.00 Show arrow
T9020 Sentinel node mapping and sampling with blue dye and radioactive probe for breast cancer Intermediate £500.00 £165.00 Show arrow
B2831 Re-excision of lesion of breast if resection margins are not clear with local mobilisation Intermediate £300.00 £165.00 Show arrow
T9030 Intraoperative sentinel node mapping, using One Step Nucleic Acid Amplification (OSNA), for breast cancer Intermediate £500.00 £165.00 Show arrow

7.2 - Mastectomy (excluding implant/reconstruction)

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



B2710 Radical mastectomy including block dissection Major £650.00 £275.00 Show arrow
B2742 Modified radical mastectomy including lymph node sampling Major £550.00 £220.00 Show arrow
B2743 Modified radical mastectomy excluding lymph node sampling Major £550.00 £220.00 Show arrow
B2760 Skin/Nipple sparing mastectomy (including axillary node biopsy) Major £450.00 £220.00 Show arrow
B2744 Modified radical mastectomy including lymph node clearance Major £550.00 £220.00 Show arrow
B2752 Subcutaneous mastectomy Major £450.00 £220.00 Show arrow
B2780 Simple mastectomy (including axillary node biopsy) – unilateral Major £450.00 £220.00 Show arrow

7.3 - Reconstruction

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



B2700 Subcutaneous mastectomy with immediate implant Major £550.00 £275.00 Show arrow
B2912 Mastectomy and immediate reconstruction of breast using latissimus dorsi Xmajor £1,250.00 £440.00 Show arrow
B2913 Reconstruction of breast using latissimus dorsi including implantation of prosthesis (including delayed reconstruction) Xmajor £800.00 £440.00 Show arrow
B2914 Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - bilateral Complex £4,500.00 £1,800.00
B2915 Reconstruction of breast using extended latissimus dorsi flap (including delayed reconstruction) Complex £1,400.00 £550.00 Show arrow
B2916 Mastectomy and immediate reconstruction of breast using extended latissimus dorsi flap Xmajor £1,650.00 £440.00 Show arrow
B2917 Reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) (including delayed reconstruction) Major £600.00 £250.00 Show arrow
B2918 Mastectomy and immediate reconstruction of breast using fixed prosthesis and acellular dermal matrix (ADM) - unilateral Xmajor £750.00 £275.00 Show arrow
B2984 Reconstruction of breast using pedicled TRAM (including delayed reconstruction) Complex £1,300.00 £495.00 Show arrow
B2985 Reconstruction of breast using free TRAM (including delayed reconstruction Complex £1,300.00 £495.00 Show arrow
B2986 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - unilateral Complex £2,750.00 £1,100.00 Show arrow
B2996 Reconstruction of breast using deep inferior epigastric perforator flap (DIEP) (including delayed reconstruction) - bilateral Complex £4,125.00 £1,650.00
B2989 Mastectomy followed by immediate Deep Inferior Epigastric Flap (DIEP) reconstruction - unilateral Complex £3,000.00 £1,200.00 Show arrow
B2987 Reconstruction of breast using Transverse Upper Gracilis (TUG) flap (including delayed reconstruction and nipple reconstruction) Complex £2,750.00 £1,100.00 Show arrow
B2988 Reconstruction of breast using ALT (anteriolateral thigh) flap including delayed reconstruction Complex £2,750.00 £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 £1,000.00 £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 £1,000.00 £500.00 Show arrow
B2991 Laparoscopic mobilisation of the greater omentum for reconstruction of breast (including delayed reconstruction) Major £550.00 £275.00 Show arrow
B3012 Mastectomy and immediate reconstruction of breast using expandable prosthesis Xmajor £550.00 £275.00 Show arrow
B3013 Mastectomy and immediate reconstruction of breast using fixed prosthesis Xmajor £550.00 £275.00 Show arrow
B3014 Reconstruction of breast using expandable prosthesis (including delayed reconstruction) Major £400.00 £220.00 Show arrow
B3015 Reconstruction of breast using fixed prosthesis (including delayed reconstruction) Major £400.00 £220.00 Show arrow
B3016 Mastectomy and immediate reconstruction of breast using fat transfer Xmajor £650.00 £275.00 Show arrow
B3017 Reconstruction of breast using fat transfer (including delayed reconstruction) Major £500.00 £220.00 Show arrow
B3018 Revision reconstruction of breast using fat transfer Intermediate £200.00 £110.00 Show arrow
B3180 Implantation of prosthesis into breast as sole procedure Intermediate £400.00 £220.00 Show arrow
B3580 Nipple areola complex reconstruction +/- liposuction and fat transfer Major £600.00 £440.00 Show arrow
B3810 Reconstruction of breast using SGAP (superior gluteal artery perforator) flap including delayed reconstruction. Complex £2,500.00 £1,100.00 Show arrow

7.4 - Other

Code Description Complexity Procedure fees Anaesthetist fees
Unacceptable Combinations



B3310 Drainage of breast abscess including haematoma and seroma Minor £200.00 £165.00 Show arrow
B3440 Microdochotomy Intermediate £300.00 £165.00 Show arrow
B3592 Micropigmentation (tattooing) of nipple areola complex Minor £200.00 £0.00 Show arrow
B3593 Microdochectomy or mammodochectomy (Hadfield’s procedure) Intermediate £350.00 £165.00 Show arrow
B3594 Plastic procedures on nipple Intermediate £350.00 £165.00 Show arrow
B3595 Excision of mammary fistula Intermediate £350.00 £165.00 Show arrow



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