Botulinum Toxin Injections
J15
28 active Medicare policies list 43236, 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
J15 · Effective Feb 22, 2026
J6 · Effective Feb 22, 2026
JK · Effective Feb 22, 2026
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Feb 22, 2026
JM · Effective Feb 22, 2026
J5
J5 · Effective Feb 22, 2026
13 policies from 8 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 43236 |
|---|---|---|
| Botulinum Toxin | Jan 1, 2026 | Covered |
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43236 |
|---|---|---|
| Botulinum Toxin | Jan 1, 2026 | Covered |
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
J5
J8 · Effective Feb 22, 2026
J9 · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
National · Effective Apr 9, 2026
National · Effective Apr 9, 2026
National · Effective Apr 9, 2026
National · Effective Apr 9, 2026
National · Effective Apr 9, 2026
National · Effective Apr 9, 2026
J9 · Effective Oct 1, 2025
JL · Effective Oct 1, 2025
National · Effective Oct 1, 2025
| Policy | Effective | Status of 43236 |
|---|---|---|
| Botulinum Toxin | Jan 1, 2026 | Covered |
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43236 |
|---|---|---|
| Botulinum Toxin | Jan 1, 2026 | Covered |
| Device Therapies for Gastroesophageal Reflux Disease (GERD) | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 43236 |
|---|---|---|
| Cigna Commercial Gastroenterology Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 43236 |
|---|---|---|
| Ethanol Injection for Thyroid Lesions and Other Selected Indications | Jun 6, 2023 | Covered |
| Policy | Effective | Status of 43236 |
|---|---|---|
| Upper Gastrointestinal Endoscopy in Adults | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 43236 |
|---|---|---|
| Upper Gastrointestinal Endoscopy (Esophagogastroduodenoscopy) | Apr 4, 2026 | Covered |