Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
J15 · Effective Oct 1, 2015
4 active Medicare policies list G0279, and 3 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
National · Effective Dec 4, 2025
National · Effective Aug 6, 2026
National · Effective Oct 2, 2025
3 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 G0279 |
|---|---|---|
| Breast Biopsy Procedures | Apr 26, 2023 | Covered |
| Policy | Effective | Status of G0279 |
|---|---|---|
| Extracorporeal Shock Wave Therapy | Jul 1, 2026 | Not covered |
| Policy | Effective | Status of G0279 |
|---|---|---|
| Breast Imaging | Jul 1, 2026 | Covered |