Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
J15 · Effective Oct 1, 2015
24 active Medicare policies list N65.0, 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
J15 · Effective May 28, 2023
J9 · Effective Jul 11, 2021
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
2 policies from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of N65.0 |
|---|---|---|
| Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures | Jul 1, 2026 | Covered |
| Cosmetic and Reconstructive Services of the Trunk, Groin, and Extremities | Oct 1, 2026 | Covered |
J5 · Effective Nov 14, 2021
J8 · Effective Nov 14, 2021
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
JL · Effective Nov 17, 2025
National · Effective Jan 1, 2026
J9 · Effective Nov 17, 2025
J5 · Effective Jan 1, 2026
National · Effective Nov 27, 2025
National · Effective Oct 16, 2025
J6 · Effective Jan 1, 2025