Cosmetic and Reconstructive Surgery
J15 · Effective May 28, 2023
10 active Medicare policies list N64.81, 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 May 28, 2023
J9 · Effective Jul 11, 2021
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
J5 · Effective Nov 14, 2021
J8 · Effective Nov 14, 2021
JL · Effective Nov 17, 2025
J9 · Effective Nov 17, 2025
J5 · Effective Jan 1, 2026
National · Effective Nov 27, 2025
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 N64.81 |
|---|---|---|
| Reduction Mammaplasty | Jul 1, 2026 | Covered |
| Policy | Effective | Status of N64.81 |
|---|---|---|
| Transvaginal Ultrasound, Non-Obstetrical | Mar 15, 2026 | Not covered |