A patient undergoes a nipple micropigmentation procedure in the clinic, which was performed by a physician assistant (PA) in the presence of a physician. Although the physician evaluated the patient and then performed what are deemed to be all key elements of the procedure including, but not limited to, the selection and approval of nipple/areolar position, size, shape, color, and as much of the actual micropigmentation as the physician deems critical for the success of the tattoo, it was the PA who completed the tattoo according to the specifications of the physician. May the physician report tattooing code 11920 or 11921 ? ...
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Article Overview
This short coding article explains a clinic-based nipple micropigmentation scenario involving a physician assistant and physician presence. It discusses the relationship between nipple reconstruction and tattooing within CPT guidance, and it is relevant to coders, billers, and compliance staff reviewing breast reconstruction-related services.
Why This Topic Matters
It helps determine whether a separate tattooing service is considered part of a broader reconstructive procedure and clarifies the scope of CPT guidance for this type of case.
What You Will Learn
- How a nipple micropigmentation scenario is framed in CPT coding guidance
- How tattooing relates to nipple reconstruction services in a breast reconstruction context
- When separate tattooing codes are discussed in relation to the procedure scenario
- How provider roles in the procedure are described in the article
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance professionals
- Plastic surgery practice staff
Codes Discussed
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