Cosmetic and Reconstructive Surgery
J15 · Effective May 28, 2023
10 active Medicare policies list 19300, and 13 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
J9 · Effective Jul 11, 2021
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J5 · Effective Nov 14, 2021
J8 · Effective Nov 14, 2021
JL · Effective Nov 17, 2025
J9 · Effective Nov 17, 2025
J5 · Effective Jun 25, 2026
National · Effective Nov 27, 2025
13 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 19300 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Gynecomastia Surgery | Aug 15, 2026 | Covered |
| Policy | Effective | Status of 19300 |
|---|---|---|
| Mastectomy for Gynecomastia | Apr 15, 2026 | Covered |
| Policy | Effective | Status of 19300 |
|---|---|---|
| Surgical Treatment of Gynecomastia | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 19300 |
|---|---|---|
| Surgical Treatment of Gynecomastia | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 19300 |
|---|---|---|
| Surgical Treatment of Gynecomastia | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 19300 |
|---|---|---|
| Surgical Treatment of Gynecomastia | Aug 1, 2026 | Covered |
| Policy | Effective | Status of 19300 |
|---|---|---|
| Breast Excision and Mastectomy | Aug 3, 2026 | Covered with conditions |
| Policy | Effective | Status of 19300 |
|---|---|---|
| Mastectomy as a Treatment of Gynecomastia | Sep 1, 2026 | Covered |
| Policy | Effective | Status of 19300 |
|---|---|---|
| Gynecomastia Surgery | Jun 1, 2026 | Covered |
| Policy | Effective | Status of 19300 |
|---|---|---|
| Gynecomastia Surgery | Jun 1, 2026 | Covered |
| Policy | Effective | Status of 19300 |
|---|---|---|
| Gynecomastia Surgery | Jun 1, 2026 | Covered |