Cosmetic and Reconstructive Surgery
JJ · Effective Oct 1, 2015
3 active Medicare policies list 21249, and 7 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
7 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 21249 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Dental Implants | Aug 15, 2026 | Covered with conditions |
| Policy | Effective | Status of 21249 |
|---|---|---|
| Administrative Guidelines to Determine Dental vs Medical Services | Mar 1, 2026 | Covered |
| Cosmetic and Reconstructive Procedures |
| Sep 1, 2026 |
| Covered |
| Policy | Effective | Status of 21249 |
|---|---|---|
| Orthognathic Surgery | Not recorded | Covered |
| Policy | Effective | Status of 21249 |
|---|---|---|
| Orthognathic Surgery | Feb 2, 2026 | Covered |