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Wiki Tattooing

Katiemkf

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Syracuse, NY
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Need some help with procedure codes 11920 & 11921. Are these billable by a physician only? We have an MD who wants to hire a nurse/tattoo artist to perform this code on breast reconstruction patients. Can these services be, in essence, billed "incident to"? Additionally, is anyone aware of any related CCI edits? Are these codes always included in the recontrsuction?:eek:
 
11920 & 11921 are in a "R" Status. You're gonna have issues getting this paid. I'd contact your MAC.

CMS
Status R: Restricted Coverage

Special coverage instructions apply. If covered, the service is carrier priced. (NOTE: We are assigning the indicator to a limited number of CPT codes which represent services that are covered only in unusual circumstances.)

Good Luck!
 
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