Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria
National · Effective Oct 1, 2026
1 active Medicare policy lists 15772, and 24 commercial payer policies list it. 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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National · Effective Oct 1, 2026
24 policies from 12 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 15772 |
|---|---|---|
| Adipose-derived Stem Cell Enrichment in Autologous Fat Grafting to the Breast | Feb 1, 2026 | Covered |
| Cosmetic and Reconstructive Procedures | Sep 1, 2026 | Covered |
| 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 15772 |
|---|---|---|
| Blood and Adipose Tissue Derived Products for Selected Indications |
| Oct 26, 2023 |
| Covered |
| Hypertrophic Scars and Keloids | Jun 22, 2023 | Covered |
|---|
| Skin and Soft Tissue Substitutes | Feb 9, 2024 | Covered |
|---|
| Policy | Effective | Status of 15772 |
|---|---|---|
| Autologous Adipose-derived Regenerative Cell Therapy | Jan 6, 2026 | Not covered |
| Autologous Fat Grafting and Injectable Soft Tissue Fillers | Jan 6, 2026 | Covered |
| Policy | Effective | Status of 15772 |
|---|---|---|
| Adipose-Derived Stem Cells in Autologous Fat Grafting to the Breast | Oct 1, 2026 | Covered |
| Reconstructive Breast Surgery | May 15, 2026 | Covered |
| Policy | Effective | Status of 15772 |
|---|---|---|
| Adipose-Derived Stem Cells in Autologous Fat Grafting to the Breast | Oct 1, 2026 | Covered |
| Reconstructive Breast Surgery | May 15, 2026 | Covered |
| Policy | Effective | Status of 15772 |
|---|---|---|
| Adipose-Derived Stem Cells in Autologous Fat Grafting to the Breast | Oct 1, 2026 | Covered |
| Reconstructive Breast Surgery | May 15, 2026 | Covered |
| Policy | Effective | Status of 15772 |
|---|---|---|
| Adipose-Derived Stem Cells in Autologous Fat Grafting to the Breast | Oct 1, 2026 | Covered |
| Reconstructive Breast Surgery | May 15, 2026 | Covered |
| Policy | Effective | Status of 15772 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 15772 |
|---|---|---|
| Breast Reconstruction | Jan 1, 2026 | Covered |
| Cosmetic and Reconstructive Procedures | Jun 1, 2026 | Covered |
| Policy | Effective | Status of 15772 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Not recorded | Covered |
| Policy | Effective | Status of 15772 |
|---|---|---|
| Breast Reconstruction | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 15772 |
|---|---|---|
| Breast Reconstruction | Jan 1, 2026 | Covered |