Nasal Punctum-Nasolacrimal Duct Dilation and Probing with or without Irrigation
J15 · Effective Oct 1, 2015
4 active Medicare policies list H04.431, and 2 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
J15 · Effective Oct 1, 2015
National · Effective May 28, 2026
National · Effective Sep 3, 2026
2 policies from 2 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of H04.431 |
|---|---|---|
| Nasolacrimal Duct Obstruction: Treatments | Jun 8, 2023 | Covered |
| Policy | Effective | Status of H04.431 |
|---|---|---|
| External Ocular Photography | Not recorded | Covered |