Cosmetic and Reconstructive Surgery
JJ · Effective Oct 1, 2015
4 active Medicare policies list E0486, 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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JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
National · Effective Aug 8, 2021
National · Effective Jan 1, 2023
13 policies from 12 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of E0486 |
|---|---|---|
| Sleep Disorder Management | Sep 19, 2026 | Covered |
| Sleep Disorder Management | Nov 15, 2025 | Covered |
| Policy | Effective | Status of E0486 |
|---|---|---|
| Intra-oral Appliances for Headaches and Trigeminal Neuralgia | Dec 13, 2023 | Covered |
| Policy | Effective | Status of E0486 |
|---|
| Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or Snoring | Oct 1, 2026 | Covered |
|---|
| Policy | Effective | Status of E0486 |
|---|---|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
| Policy | Effective | Status of E0486 |
|---|---|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
| Policy | Effective | Status of E0486 |
|---|---|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
| Policy | Effective | Status of E0486 |
|---|---|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
| Policy | Effective | Status of E0486 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List | Jan 1, 2025 | Prior auth required |
| Policy | Effective | Status of E0486 |
|---|---|---|
| Prefabricated Oral Appliances for Obstructive Sleep Apnea | Jul 1, 2026 | Covered |
| Policy | Effective | Status of E0486 |
|---|---|---|
| The Health Plan Sleep CPT Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of E0486 |
|---|---|---|
| Obstructive and Central Sleep Apnea Treatment | Oct 1, 2026 | Covered |
| Policy | Effective | Status of E0486 |
|---|---|---|
| Obstructive and Central Sleep Apnea Treatment | Oct 1, 2026 | Covered |