Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
J15 · Effective Oct 1, 2015
23 active Medicare policies list N64.4, and 4 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
J9 · Effective Jul 11, 2021
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
4 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 N64.4 |
|---|---|---|
| Botulinum Toxin | Jan 1, 2024 | Covered |
| Cold Laser and High-Power Laser Therapies | Feb 15, 2024 | Covered |
| Cryoanalgesia and Therapeutic Cold | Mar 16, 2023 | Covered |
| Policy | Effective | Status of N64.4 |
|---|---|---|
| Transvaginal Ultrasound, Non-Obstetrical | Mar 15, 2026 | Not covered |
JF · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Dec 4, 2025
J6 · Effective Jan 1, 2024
National · Effective Oct 1, 2025
JL · Effective Nov 17, 2025
J9 · Effective Nov 17, 2025
National · Effective Nov 6, 2025
National · Effective Jan 1, 2026
National · Effective Oct 16, 2025
J6 · Effective Jan 1, 2025