JANET'S LAW & BROOKSIDE TATTOOS & AESTHETICS LLC
Janet's Law & Brookside Tattoos & Aesthetics LLC
Brookside Tattoos & Aesthetics LLC is not a medical facility; therefore, it is unable to submit a medical claim for you. However, during your consultation, the Diagnosis and Procedure codes needed for reimbursement from your insurance company will be provided to you. Brookside Tattoos & Aesthetics LLC is also an out-of-network provider. Patients who have out-of-network coverage and have met their deductable for the year have a greater chance of being reimbursed. Please note that there is no guarantee that providing these codes along with a paid bill will result in reimbursement to you by your insurance company.
The U.S. Women's Health and Cancer Rights Act, also known as
Janet's Law, was signed into law on October 21, 1998. It contains protections for patients who elect breast reconstruction with a mastectomy.
The Act notes that "Patients whose health plans cover mastectomies are entitled to insurance coverage for post - mastectomy reconstruction, including areola/nipple micropigmentation tattooing." It also states that you may go to the facility of your choice without it affecting the determination of benefits eligibility.
Please view the Procedure and Diagnostic info below to retrieve the medical codes necessary for submission to your insurance company.
PROCEDURE AND
DIAGNOSTIC CODES
Understanding Medical Code Billing
Brookside Tattoos & Aesthetics LLC- Wescosville, PA is an out-of-network provider. As an out-of-network provider, we do not accept insurance payments. Brookside Tattoos & Aesthetics LLC - Wescosville, PA will provide a paid invoice at the time of your procedure for submission to your insurance company.
We suggest that you call your current insurance company to inform them that you are preparing to have paramedical micropigmentation in order to complete your reconstruction post breast cancer; at that time, you should request a Predetermination of Procedure Benefit Allowance, also see Janet's Law listed above for more info. Below you will find the Procedure and Diagnosis codes information necessary for pre-authorization.
PROCEDURE CODE
CPT11921
Tattooing and intradermal introduction of insoluble opaque pigments to correct color defects, including micro-pigmentation. 6.1 to 20.1 sq cm (2-3 visits necessary)
DIAGNOSIS CODES
V611.89 /ICD-CM N64.89
Post-mound reconstruction; Absence of areola complex.
ICD-10-C L65.8 (704.09)
Other specified non-scarring hair loss.
V45.71 Acquired absence of breast secondary to mastectomies for breast cancer.
Health Care Provider:
David Guldin - Areola Reconstruction Tattoo
Brookside Tattoos & Aesthetics LLC - Wescosville, PA
1013 Brookside Rd, Suite 106
Wescosville, PA 18106
Phone 484-894-8194
Tax ID# - upon request
Health Care Provider:
Emily Guldin - Microneedling, PhiIon Plasma Pen
Brookside Tattoos & Aesthetics LLC - Wescosville, PA
1013 Brookside Rd, Suite 106
Wescosville, PA 18106
Phone 484-894-8194
Tax ID# - upon request
See Emily's microneedling/PhiIon work here!
3-D Areola/Nipple Micropigmentation