Cosmetic and Reconstructive Surgery
J15 · Effective May 28, 2023
9 active Medicare policies list 15836, and 25 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
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J5 · Effective Jun 25, 2026
National · Effective Nov 27, 2025
National · Effective Oct 16, 2025
National · Effective Oct 1, 2026
25 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 15836 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Gender Dysphoria Treatment | Sep 15, 2026 | Not covered |
| Lymphedema and Lipedema Surgical Treatments | Oct 1, 2026 | Covered |
| Redundant Skin Surgery | Sep 15, 2026 | Covered |
| Policy | Effective | Status of 15836 |
|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Surgical Treatments for Breast Cancer-Related Lymphedema | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 15836 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Surgical Treatments for Breast Cancer-Related Lymphedema | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 15836 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Surgical Treatments for Breast Cancer-Related Lymphedema | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 15836 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Surgical Treatments for Breast Cancer-Related Lymphedema | Dec 15, 2025 | Covered |
| Policy | Effective | Status of 15836 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Sep 1, 2026 | Covered |
| Gender Affirming Interventions for Gender Dysphoria | Apr 1, 2026 | Covered |
| Surgical Treatments for Lymphedema and Lipedema | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 15836 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Not recorded | Covered |
| Policy | Effective | Status of 15836 |
|---|---|---|
| Cosmetic and Reconstructive Services of the Trunk, Groin, and Extremities | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 15836 |
|---|---|---|
| Surgery for the Prevention and Treatment of Lymphedema | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 15836 |
|---|---|---|
| Surgery for the Prevention and Treatment of Lymphedema | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 15836 |
|---|---|---|
| Surgery for the Prevention and Treatment of Lymphedema | Jan 1, 2026 | Covered |