Cosmetic and Reconstructive Surgery
J15 · Effective May 28, 2023
5 active Medicare policies list 21235, and 6 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
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
National · Effective Jan 1, 2026
National · Effective Nov 27, 2025
6 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 21235 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Otoplasty and External Ear Reconstruction | Jul 15, 2026 | Covered |
| Policy | Effective | Status of 21235 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Not recorded | Covered |
| Policy | Effective | Status of 21235 |
|---|---|---|
| Cosmetic and Reconstructive Services of the Head and Neck | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 21235 |
|---|---|---|
| Gender Affirming Interventions for Gender Dysphoria | Apr 1, 2026 | Covered |