Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
J15 · Effective Oct 1, 2015
106 active Medicare policies list C79.81, 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.
Free account. Policy pages stay open to everyone.
Showing 100 of 106
J15 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J15 · Effective May 28, 2023
J9 · Effective Jul 11, 2021
14 policies from 3 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of C79.81 |
|---|---|---|
| Breast Biopsy Procedures | Apr 26, 2023 | Covered |
| Breast Reconstructive Surgery | Apr 7, 2023 | Covered |
| Breast Transillumination, Electrical Impedance Scanning (EIS), and Elastography | Dec 5, 2023 | Covered |
| BreastCare/BreastAlert Differential Temperature Sensor | May 30, 2023 | Covered |
| Cryoablation | Dec 5, 2023 | Covered |
| Cryoanalgesia and Therapeutic Cold | Mar 16, 2023 | Covered |
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
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J6 · Effective Jul 15, 2026
JK · Effective Jul 15, 2026
JJ · Effective Jul 24, 2022
JM · Effective Jul 24, 2022
J15 · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J6 · Effective Apr 1, 2019
JK · Effective Apr 1, 2019
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
J15 · Effective Oct 1, 2015
JE · Effective Jul 5, 2016
JF · Effective Jul 5, 2016
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
J15 · Effective Jul 25, 2021
JE · Effective Jul 4, 2021
JF · Effective Jul 4, 2021
J5 · Effective Jul 25, 2021
J8 · Effective Jul 25, 2021
JJ · Effective Jul 25, 2021
JM · Effective Jul 25, 2021
J9 · Effective Oct 1, 2015
J6 · Effective May 1, 2017
JK · Effective May 1, 2017
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Dec 3, 2023
JM · Effective Dec 3, 2023
JJ · Effective Jun 12, 2017
JM · Effective Jun 12, 2017
National · Effective Dec 4, 2025
J6 · Effective Jan 1, 2024
National · Effective Oct 1, 2025
National · Effective Oct 1, 2025
JL · Effective Nov 17, 2025
National · Effective Jan 1, 2026
J9 · Effective Nov 17, 2025
J5 · Effective Jan 1, 2026
National · Effective Nov 27, 2025
National · Effective Nov 1, 2025
National · Effective Apr 1, 2025
National · Effective Mar 5, 2026
National · Effective Oct 3, 2018
National · Effective Mar 5, 2026
J6 · Effective Feb 26, 2026
National · Effective Oct 1, 2025
National · Effective Oct 1, 2025
National · Effective Nov 6, 2025
National · Effective Oct 1, 2024
National · Effective Oct 1, 2024
National · Effective Feb 19, 2026
J5 · Effective Oct 1, 2024
National · Effective Jul 14, 2022
National · Effective Feb 19, 2026
National · Effective Nov 16, 2023
J5 · Effective Jul 28, 2022
National · Effective Oct 1, 2021
National · Effective Nov 22, 2023
National · Effective Feb 5, 2026
J5 · Effective Jul 27, 2023
National · Effective Jun 2, 2022
National · Effective Nov 16, 2023
National · Effective Feb 5, 2026
J5 · Effective May 26, 2022
J6 · Effective Oct 1, 2025
| External Breast Prosthesis | Dec 15, 2023 | Covered |
|---|
| Hyperthermia in Cancer Therapy | Feb 9, 2024 | Covered |
|---|
| Microwave Thermotherapy | Sep 19, 2023 | Covered |
|---|
| Policy | Effective | Status of C79.81 |
|---|---|---|
| Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures | Jul 1, 2026 | Covered |
| Compression Devices for Lymphedema | Jan 6, 2026 | Covered |
| Cosmetic and Reconstructive Services: Skin Related | Jan 6, 2026 | Covered |
| Mastectomy for Gynecomastia | Apr 15, 2026 | Covered |
| Policy | Effective | Status of C79.81 |
|---|---|---|
| Concert Genetic Testing: Toxicology and Pharmacogenetics Version B | Not recorded | Referenced |