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Special Consent for Breast Massage

As of 2017, WAC 246-830-555 requires LMTs to have a special consent for breast massage on file. Please remember that special consent, and the education of patients that goes along with it, protects both patients and therapists. To minimize your risk of complaints from patients or third parties (friends, partners or family), consider following these steps:

  1. Before the first breast massage treatment, explain to the client what you are planning to do and why.
  2. Discuss draping options: Are they comfortable with their breast being uncovered? Would they prefer touch through a sheet or other covering? Would they prefer touch through their clothes?
  3. If you plan to work on the areola, you need to discuss this specifically.
  4. Get written consent for the client to receive breast massage, what draping option they prefer and if the areola will be included in the treatment sessions. 
  5. Inform your client that they have the right to withdraw their consent at any time during the treatment or in the future.

At future appointments, ask for verbal consent before uncovering and/or touching the breast and document in your chart notes.

Sample Breast Massage Consent Form (.docx)

WAC 246-830-555 Breast Massage

Additional CPT Codes Available to Massage Therapists

In a previous coding article, we covered codes specific to particular massage modalities. This article covers additional codes that can accompany those modalities and explores key aspects of the billing process.

View all articles

Continuing Education Audits

Every month the Department of Health audits 2% of the license renewals which have continuing education due. A shocking 50% of therapists fail the audit. This is not always due to a lack of education hours, but can also be due to not having hours in the required categories. The Board of Massage has developed a handy tracking form which lists the requirements and space to enter your continued education classes.

Print out the form, write in any classes when you take them, attach your certificate, and you are ready for a successful audit.

There will likely be some changes to CE requirements in the near future. We will let you know when the regulations become effective and supply you with the link to the updated form.

What We Do For You

In Washington State, massage therapists are in a unique position, licensed by the state and credentialed by insurance as health care providers.  LMTs are included in insurance provider networks.  The Clinical Practices Program (CPP) mission is to be a communication portal (conduit) to address issues that impact clinical practices at the state level, while bringing best practice information to individual massage therapists and clinics.  We bring our voices, our knowledge, our experience and collaborative approach to Washington State's regulatory, legislative and insurance arenas.  We also prioritize effective communication with our members as well as other professional organizations in the healthcare field, particularly rehabilitation therapy.

Our current and ongoing focus is to provide the most up-to-date and accurate information for Best Clinical Practices and for compliance with our massage laws as well as other regulations that apply to healthcare providers.  We seek and participate in opportunities to work with networks and insurers on behalf of Washington LMTs to address issues including but not limited to credentialing, improving access to provider networks, network adequacy, prior authorization requirements, payers compliance with reimbursement regulations.

The Coding and Documentation Work Group

This group is a subcommittee under the Clinical Practices Program. Our focus is to research, network and share resources on issues of coding, documentation and other key components of clinical practice. Our goal is to share information and provide tools for licensed individual practitioners and clinical group.


Our Board and Committee members are all unpaid volunteers working for you. If you have a story idea, an educational experience or ideas to share, please contact us. Please specify your interest in the Clinical Practices Group, our coding subcommittee or if you are looking for volunteer opportunities.

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