Benign Skin Lesion Removal (Excludes Actinic Keratosis, and Mohs)
JE · Effective Oct 1, 2015
20 active Medicare policies list D04.9, and 6 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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JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JE · Effective Aug 8, 2022
JF · Effective Aug 8, 2022
JJ · Effective Jul 3, 2022
JM · Effective Jul 3, 2022
J5 · Effective Jul 3, 2022
6 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 D04.9 |
|---|---|---|
| Cosmetic and Reconstructive Services: Skin Related | Jan 6, 2026 | Covered |
| Destruction of Pre-Malignant Skin Lesions | Oct 1, 2026 | Covered |
| Mohs Micrographic Surgery | Apr 15, 2026 | Covered |
| Policy | Effective | Status of D04.9 |
|---|---|---|
| Benign Skin Lesion Removal | Sep 13, 2023 | Covered |
| Mohs Micrographic Surgery |
J8 · Effective Jul 3, 2022
J9 · Effective Oct 1, 2015
JJ · Effective Jun 12, 2017
JM · Effective Jun 12, 2017
National · Effective Jan 1, 2026
National · Effective Oct 1, 2025
National · Effective Jan 1, 2026
National · Effective Feb 5, 2026
J5 · Effective Jan 1, 2026
National · Effective Oct 30, 2025
National · Effective Oct 1, 2025
| Jun 22, 2023 |
| Covered |
| Policy | Effective | Status of D04.9 |
|---|---|---|
| Low-Level Laser and High-Power Laser Therapy | Mar 15, 2026 | Covered |