Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
J15 · Effective Oct 1, 2015
2 active Medicare policies list N64.9, 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
National · Effective Dec 4, 2025
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 N64.9 |
|---|---|---|
| Breast Ductal Lavage and Fiberoptic Ductoscopy | Jul 12, 2023 | Covered |
| Grenz Ray Therapy for Skin Disorders | Mar 29, 2023 | Covered |
| Magnetic Resonance Imaging (MRI) of the Breast | May 12, 2023 | Covered |
| Policy | Effective | Status of N64.9 |
|---|---|---|
| Transvaginal Ultrasound, Non-Obstetrical | Mar 15, 2026 | Not covered |