Submitting For Reimbursement

We recommend that you contact your insurance provider ahead of time to learn about your plan’s reimbursement policy.  This way, you’ll know everything you need to submit the claim.  When you speak to the representative be sure to do the following:

  1. Have your policy number ready along with paper and pen to take notes.
  2. Inform the customer service representative that you have an “acquired absence of the breast(s) and nipple(s) due to your breast cancer (or genetic predisposition to breast cancer) diagnosis”
  3. Z85.3 is the diagnosis code for personal history of breast cancer.
  4. Z15.01 is the diagnosis code for genetic predisposition to breast cancer. 
  5. Inform the customer service representative that you have undergone breast reconstruction to rebuild the breast mound and you are seeking
    3-D nipple and areola complex tattooing to restore that anatomy.
  6. Let them know that your medical care team does not offer this service and you are seeing a licensed Body Art Practitioner to perform the restoration.
  7. The procedure codes for the tattoo (s) are:
    11921 is the One side procedure code.
    11921 + 11922 is the Two sides procedure code.
  8. Type II / Business NPI# for The PArlor = 1821727405
  9. Each insurance company will have its own protocol for submitting for reimbursement, so take notes on anything they will need (receipts, letters of support, etc.).
  10. At the completion of your tattoo with Abbie, you will receive a letter that details your medical history, describes the procedure, and documents the diagnosis codes and procedure codes. This should also help with your reimbursement.
  11. If your insurance provider does not offer reimbursement, please check out Best Face Forward and Brigham and Women’s CHAT Program for other opportunities for financial assistance.