18 commercial payer policies list 11970. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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18 policies from 9 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 11970 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Reconstructive Breast Surgery | May 15, 2026 | Covered |
| Reconstructive Breast Surgery/Management of Breast Implants | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 11970 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Reconstructive Breast Surgery |
| May 15, 2026 |
| Covered |
| Reconstructive Breast Surgery/Management of Breast Implants | Jan 1, 2026 | Covered |
|---|
| Policy | Effective | Status of 11970 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Reconstructive Breast Surgery | May 15, 2026 | Covered |
| Reconstructive Breast Surgery/Management of Breast Implants | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 11970 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Reconstructive Breast Surgery | May 15, 2026 | Covered |
| Reconstructive Breast Surgery/Management of Breast Implants | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 11970 |
|---|---|---|
| Gender Affirming Interventions for Gender Dysphoria | Apr 1, 2026 | Covered |
| Reconstructive Breast Surgery/Mastopexy, and Management of Breast Implants | Dec 1, 2025 | Covered |
| Policy | Effective | Status of 11970 |
|---|---|---|
| Pectus Excavatum and Poland's Syndrome: Surgical Correction | Apr 27, 2023 | Covered |
| Policy | Effective | Status of 11970 |
|---|---|---|
| Breast Reconstruction | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 11970 |
|---|---|---|
| Breast Reconstruction | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 11970 |
|---|---|---|
| Breast Reconstruction | Jan 1, 2026 | Covered |