Cataract Extraction
J15 · Effective Oct 1, 2015
17 active Medicare policies list H52.31, and 5 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
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Oct 13, 2024
J8 · Effective Oct 13, 2024
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J15 · Effective Mar 19, 2018
5 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 H52.31 |
|---|---|---|
| Medically Necessary Optical Hardware | Not recorded | Covered |
| Preventative (Routine) Eye Examination | Not recorded | Covered |
| Preventive (Routine) Eye Examination Attachment A: Refractive Hardware | Not recorded | Covered |
| Policy | Effective | Status of H52.31 |
|---|---|---|
| Refractive Surgery | Jan 6, 2026 | Covered |
JJ · Effective Dec 24, 2018
JM · Effective Dec 24, 2018
National · Effective Oct 1, 2025
J6 · Effective Apr 1, 2026
National · Effective Oct 1, 2025
J5 · Effective Jul 30, 2026
National · Effective Oct 1, 2025
| Policy | Effective | Status of H52.31 |
|---|---|---|
| Intraocular Lens Implant | Sep 15, 2026 | Covered |