Botulinum Toxin Injections
J15 · Effective Feb 22, 2026
29 active Medicare policies list 76942, and 14 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 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 · Effective Feb 22, 2026
J5
J8 · Effective Feb 22, 2026
14 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 76942 |
|---|---|---|
| Botulinum Toxin | Jan 1, 2024 | Covered |
| Breast Biopsy Procedures | Apr 26, 2023 | Covered |
| Complex Regional Pain Syndrome (CRPS): Treatments | Feb 27, 2024 | Covered |
| Varicose Veins | Jul 28, 2023 | Covered |
| Viscosupplementation | Jan 1, 2024 | Covered |
| Policy |
|---|
J8
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J15 · 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
National · Effective Jan 1, 2020
National · Effective Aug 6, 2026
National · Effective Mar 5, 2026
J5 · Effective Nov 30, 2023
National · Effective May 7, 2026
National · Effective Oct 9, 2025
| Effective |
|---|
| Status of 76942 |
|---|
| Saturation Biopsy for Diagnosis, Staging and Management of Prostate Cancer, Including Comprehensive 3D Mapping with Biopsy | Jan 1, 2026 | Covered |
|---|---|---|
| Varicose Vein Management | Jun 15, 2026 | Covered |
| Policy | Effective | Status of 76942 |
|---|---|---|
| Saturation Biopsy for Diagnosis, Staging and Management of Prostate Cancer, Including Comprehensive 3D Mapping with Biopsy | Jan 1, 2026 | Covered |
| Varicose Vein Management | Jun 15, 2026 | Covered |
| Policy | Effective | Status of 76942 |
|---|---|---|
| Saturation Biopsy for Diagnosis, Staging and Management of Prostate Cancer, Including Comprehensive 3D Mapping with Biopsy | Jan 1, 2026 | Covered |
| Varicose Vein Management | Jun 15, 2026 | Covered |
| Policy | Effective | Status of 76942 |
|---|---|---|
| Saturation Biopsy for Diagnosis, Staging and Management of Prostate Cancer, Including Comprehensive 3D Mapping with Biopsy | Jan 1, 2026 | Covered |
| Varicose Vein Management | Jun 15, 2026 | Covered |
| Policy | Effective | Status of 76942 |
|---|---|---|
| Ultrasound Guidance for Trigger Point Injections | Jul 15, 2026 | Not covered |