Cosmetic and Reconstructive Surgery
J15 · Effective May 28, 2023
17 active Medicare policies list 30420, and 15 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.
J15 · Effective May 28, 2023
J9 · Effective Jul 11, 2021
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Nov 14, 2021
J8 · Effective Nov 14, 2021
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
15 policies from 12 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 30420 |
|---|---|---|
| Cigna Commercial Other Services Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Orthognathic Surgery | Oct 15, 2025 | Not covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Gender Affirming Interventions for Gender Dysphoria | Apr 1, 2026 | Covered |
| Rhinoplasty |
JL · Effective Nov 17, 2025
National · Effective Jan 1, 2026
J9 · Effective Nov 17, 2025
J5 · Effective Jun 25, 2026
National · Effective Nov 27, 2025
National · Effective Oct 16, 2025
National · Effective Oct 1, 2026
| Aug 1, 2025 |
| Covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Septoplasty and Rhinoplasty | Mar 14, 2023 | Covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Cosmetic and Reconstructive Services of the Head and Neck | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Rhinoplasty and Other Nasal Procedures – Surest Medical Policy | May 1, 2026 | Covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Rhinoplasty and Other Nasal Procedures | Apr 1, 2026 | Covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Rhinoplasty and Other Nasal Procedures | Apr 1, 2026 | Covered |
| Policy | Effective | Status of 30420 |
|---|---|---|
| Ear, Nose, and Throat Procedures | Not recorded | Covered |