Outpatient Psychiatry and Psychology Services
J15 · Effective Oct 1, 2015
17 active Medicare policies list F64.9, and 8 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 Oct 1, 2015
J9 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J9 · Effective Oct 1, 2015
JJ · Effective Feb 13, 2022
JM · Effective Feb 13, 2022
8 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 F64.9 |
|---|---|---|
| Endometrial Ablation | Mar 21, 2023 | Covered |
| External Breast Prosthesis | Dec 15, 2023 | Covered |
| Gender Affirming Surgery | Mar 5, 2024 | Covered |
| Gonadotropin-Releasing Hormone Analogs and Antagonists | Jul 14, 2023 | Covered |
| Implantable Hormone Pellets | Jul 14, 2023 | Covered |
| Melodic Intonation Therapy | May 4, 2023 | Covered |
National · Effective Jun 4, 2026
J9 · Effective Jan 1, 2025
J6 · Effective Apr 1, 2026
J5 · Effective Jan 1, 2026
J9 · Effective Oct 1, 2025
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J6 · Effective Oct 1, 2026
| Policy | Effective | Status of F64.9 |
|---|---|---|
| Gender Dysphoria Treatment | Sep 15, 2026 | Covered |
| Policy | Effective | Status of F64.9 |
|---|---|---|
| Testosterone Replacement or Supplementation Therapy | Jan 1, 2026 | Covered |