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 104

Wescosville, PA 18106

Phone 484-894-8194

Tax ID# - upon request

See Dave's work here!

Health Care Provider:

Emily Guldin - Microblading

Brookside Tattoos & Aesthetics LLC - Wescosville, PA

1013 Brookside Rd, Suite 100

Wescosville, PA 18106

Phone 484-894-8194

Tax ID# - upon request

See Emily's work here!

Permanent Cosmetics

3-D Areola/Nipple Micropigmentation

Eyebrow Microblading and

Micropigmentation

TATTOO PIERCING MICROBLADING REMOVAL 3D AREOLA TATTOO MICRONEEDLING PHI-ION

 
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