4 commercial payer policies list N63.0. 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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4 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 N63.0 |
|---|---|---|
| Breast Biopsy Procedures | Apr 26, 2023 | Covered |
| Breast Ductal Lavage and Fiberoptic Ductoscopy | Jul 12, 2023 | Covered |
| Policy | Effective | Status of N63.0 |
|---|---|---|
| Mastectomy for Gynecomastia | Apr 15, 2026 | Covered |
| Policy | Effective | Status of N63.0 |
|---|---|---|
| Transvaginal Ultrasound, Non-Obstetrical | Mar 15, 2026 | Not covered |