Cosmetic and Reconstructive Surgery
J15 · Effective May 28, 2023
6 active Medicare policies list 15826, and 19 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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J15 · Effective May 28, 2023
J5 · Effective Nov 14, 2021
J8 · Effective Nov 14, 2021
J5 · Effective Jun 25, 2026
National · Effective Nov 27, 2025
National · Effective Oct 1, 2026
19 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 15826 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Surgical Deactivation of Headache Trigger Sites | Jun 15, 2025 | Covered |
| Policy | Effective | Status of 15826 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Jan 1, 2026 |
| Covered |
| Surgical Deactivation of Headache Trigger Sites | Jun 15, 2025 | Covered |
|---|
| Policy | Effective | Status of 15826 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Surgical Deactivation of Headache Trigger Sites | Jun 15, 2025 | Covered |
| Policy | Effective | Status of 15826 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Surgical Deactivation of Headache Trigger Sites | Jun 15, 2025 | Covered |
| Policy | Effective | Status of 15826 |
|---|---|---|
| Cosmetic and Reconstructive Services of the Head and Neck | Oct 1, 2026 | Covered |
| Surgical and Ablative Treatments for Chronic Headaches | Apr 15, 2026 | Not covered |
| Policy | Effective | Status of 15826 |
|---|---|---|
| Orthognathic Surgery | Oct 15, 2025 | Not covered |
| Redundant Skin Surgery | Sep 15, 2026 | Not covered |
| Policy | Effective | Status of 15826 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Sep 1, 2026 | Covered |
| Gender Affirming Interventions for Gender Dysphoria | Apr 1, 2026 | Covered |
| Policy | Effective | Status of 15826 |
|---|---|---|
| Headaches: Invasive Procedures | Feb 20, 2024 | Covered |