We offer breast reconstruction using your health fund’s “known GAP” scheme**. This includes DIEP (deep inferior epigastric perforator) flap reconstruction. This would not be possible without the extensive experience Dr Campbell-Lloyd has, which allows this procedure to be performed efficiently, and reliably. Dr Campbell-Lloyd often performs DIEP flap surgery with a colleague to further improve efficiency, and therefore safety. Most DIEP flaps will take between 5 and 8 hours. The out of pocket costs incurred for a DIEP flap involving 2 surgeons are $1000 ($500 per surgeon) for the surgical procedure. For single surgeon procedures (eg. unilateral DIEP or tissue expander and implant reconstruction) the cost is $500.
Fat grafting to the breast is a frequently performed procedure in breast reconstruction, and there may be additional costs associated with this. Unfortunately, at this time there are no item numbers associated with fat grafting, although this is currently under review. However other item numbers may be used to ensure at least partial coverage when fat grafting is performed in association with other revisions including implant exchange, nipple reconstruction, flap modifications and breast reduction procedures (for symmetry). Please contact us for more information.
It is best to check your level of cover with your health fund. Below are some item numbers that are frequently used and which may apply to you – these can be quoted to your health fund to check whether you would be covered for certain procedures.
Please note that we are aware of some patients who are being incorrectly advised by their health funds that they will not be covered for DIEP flap breast reconstruction under “Bronze” tier policies. According to advice we have received from the Department of Health, DIEP flap breast reconstruction is covered under Bronze tiers. We are seeking further clarification on this and will update this page as soon as we can. We recommend that all patients contact their health funds prior to consultation.
Tissue expander and implant reconstruction: (covered under “bronze” level private health insurance policies)
45539 | 45542 | 45527 | 45553 | 45554
DIEP flap reconstruction:
45504 | 45505 | 45570 | 30405 | 45565
45562 | 45569 | 45554 | 48406 | 45564
Removal of breast implants/”explant” surgery: (covered under “silver” level policies)
**also referred to as “Access gap schemes”. Some health funds do not offer the known GAP scheme. In these cases larger out of pocket fees will be incurred.