Cosmetic and Reconstructive Surgery
J15 · Effective May 28, 2023
5 active Medicare policies list Q2026, and 16 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
J5 · Effective Nov 14, 2021
J8 · Effective Nov 14, 2021
J5 · Effective Jan 1, 2026
National · Effective Nov 27, 2025
16 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Breast Reconstruction Following Mastectomy or Lumpectomy | Apr 15, 2026 | Not covered |
| Cigna Commercial Other Services Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List - Effective 03/07/2026 | Mar 7, 2026 | Prior auth required |
| Injectable Fillers for Head and Neck Conditions | Jun 15, 2026 | Covered |
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Jan 6, 2026 |
| Not covered |
| Autologous Fat Grafting and Injectable Soft Tissue Fillers | Jan 6, 2026 | Covered |
|---|
| Cosmetic and Reconstructive Services: Skin Related | Jan 6, 2026 | Covered |
|---|
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Vesicoureteral Reflux Treatment by Endoscopic Injection of Bulking Agents | Aug 8, 2023 | Covered |
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Not recorded | Covered |
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Cosmetic and Reconstructive Procedures | Jan 1, 2026 | Covered |
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Injectable Dermal Fillers and Bulking Agents | Oct 1, 2026 | Covered |
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Injectable Dermal Fillers and Bulking Agents | Oct 1, 2026 | Covered |
| Policy | Effective | Status of Q2026 |
|---|---|---|
| Injectable Dermal Fillers and Bulking Agents | Oct 1, 2026 | Covered |