Insurance and Billing

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Prior to scheduling an appointment for tattooing, we ask that you do the following:

1. Obtain an authorization letter from your surgeon who performed your reconstruction.

This letter should contain the patient's original diagnosis ICD code. It should also state that the patient is ready for tattooing and that the surgeon does not perform tattooing in their office.

Additionally, it should state that the surgeon is referring the patient to an out-of-network provider who is a specialist in areola restorative tattooing.

2. Contact your insurance company to determine your coverage for areola tattooing after breast reconstruction.

Note that all clients are required to pay our fees at the time of your tattooing procedure. Also, on the day of your procedure, we will provide you with a letter of medical necessity and a billing statement that contains the information your insurance company will require to see if you are eligible for reimbursement.

We want to emphasize that we cannot guarantee that you will be reimbursed. This is between

 you and your insurance company.

Here are the billing codes that your insurance company may request:

Right Unilateral: CPT 11921-RT

Left Unilateral: CPT 11921-LT

Bilateral: CPT 11922

Provider Tax ID:

Provider NPI:

Here are your rights as a breast cancer survivor:

https://www.cancer.org/treatment/finding-and-paying-for-treatment/understanding-health-insurance/health-insurance-laws/womens-health-and-cancer-rights-act.html

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