Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
J15 · Effective Oct 1, 2015
19 active Medicare policies list N60.11, 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
J15 · Effective May 28, 2023
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Nov 14, 2021
5 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 N60.11 |
|---|---|---|
| Breast Reconstructive Surgery | Apr 7, 2023 | Covered |
| External Breast Prosthesis | Dec 15, 2023 | Covered |
| Gonadotropin-Releasing Hormone Analogs and Antagonists | Jul 14, 2023 | Covered |
| Magnetic Resonance Imaging (MRI) of the Breast | May 12, 2023 | Covered |
| Policy | Effective | Status of N60.11 |
|---|---|---|
| Transvaginal Ultrasound, Non-Obstetrical |
J8 · Effective Nov 14, 2021
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Dec 4, 2025
J6 · Effective Apr 1, 2026
National · Effective Oct 1, 2026
National · Effective Jan 1, 2026
J5 · Effective Jun 25, 2026
National · Effective Nov 27, 2025
J6 · Effective Apr 1, 2026
| Mar 15, 2026 |
| Not covered |