Nipple Tattoo in Breast Reconstruction

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February 26, 2015

Question:

Is it ok to charge the tattooing if it is done before the nipple repair/reconstruction (19350)?

Answer:

Tattooing is part of the nipple reconstruction code, 19350, and not separately billable whether it’s done before or after the nipple reconstruction procedure. If tattooing is going to be the ONLY procedure performed for nipple reconstruction, then bill the appropriate tattooing code (11920-11921). The tattooing code may also be reported for touch-ups of faded tattoos.