Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
J15 · Effective Oct 1, 2015
21 active Medicare policies list N64.1, 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
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
J9 · Effective Jul 11, 2021
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
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 N64.1 |
|---|---|---|
| Magnetic Resonance Imaging (MRI) of the Breast | May 12, 2023 | Covered |
| Policy | Effective | Status of N64.1 |
|---|---|---|
| Transvaginal Ultrasound, Non-Obstetrical | Mar 15, 2026 | Not covered |
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Nov 14, 2021
J8 · Effective Nov 14, 2021
National · Effective Dec 4, 2025
J6 · Effective Apr 1, 2026
National · Effective Oct 1, 2026
JL · Effective Nov 17, 2025
National · Effective Jan 1, 2026
J9 · Effective Nov 17, 2025
J5 · Effective Jun 25, 2026
National · Effective Nov 27, 2025