Cosmetic and Reconstructive Surgery
J15 · Effective May 28, 2023
5 active Medicare policies list 69300, and 9 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
J5 · Effective Nov 14, 2021
J8 · Effective Nov 14, 2021
J5 · Effective Jun 25, 2026
National · Effective Nov 27, 2025
9 policies from 7 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 69300 |
|---|---|---|
| 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 | Not covered |
| Policy | Effective | Status of 69300 |
|---|---|---|
| Cosmetic and Reconstructive Services of the Head and Neck | Oct 1, 2026 | Covered |
| Policy | Effective | Status of 69300 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 69300 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 69300 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 69300 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 69300 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Sep 1, 2026 | Covered |