Cosmetic and Reconstructive Surgery
JJ · Effective Oct 1, 2015
4 active Medicare policies list 21209, and 12 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.
Free account. Policy pages stay open to everyone.
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
National · Effective Jan 1, 2026
National · Effective Oct 1, 2026
12 policies from 10 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 21209 |
|---|---|---|
| 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 21209 |
|---|---|---|
| Gender Affirming Interventions for Gender Dysphoria | Apr 1, 2026 | Covered |
| Orthognathic Surgery | Apr 1, 2026 | Covered |
| Policy | Effective | Status of 21209 |
|---|---|---|
| Obstructive Sleep Apnea in Adults | Mar 13, 2024 | Covered |
| Policy | Effective | Status of 21209 |
|---|---|---|
| Orthognathic Surgery | Not recorded | Covered |
| Policy | Effective | Status of 21209 |
|---|---|---|
| Mandibular/Maxillary (Orthognathic) Surgery | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 21209 |
|---|---|---|
| Orthognathic Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 21209 |
|---|---|---|
| Orthognathic Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 21209 |
|---|---|---|
| Orthognathic Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 21209 |
|---|---|---|
| Orthognathic Surgery | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 21209 |
|---|---|---|
| Orthognathic Surgery | Feb 2, 2026 | Covered |