Cosmetic and Reconstructive Surgery
J15 · Effective May 28, 2023
16 active Medicare policies list Q67.4, and 6 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
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Nov 14, 2021
J8 · Effective Nov 14, 2021
JE · Effective Oct 8, 2018
6 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 Q67.4 |
|---|---|---|
| Distraction Osteogenesis for Craniofacial Defects | Aug 9, 2023 | Covered |
| Facial Prostheses, External | Sep 12, 2023 | Covered |
| Septoplasty and Rhinoplasty | Mar 14, 2023 | Covered |
| Policy | Effective | Status of Q67.4 |
|---|---|---|
| Cranial Remodeling Bands and Helmets (Cranial Orthoses) | Jan 6, 2026 | Covered |
| Mandibular/Maxillary (Orthognathic) Surgery |
JF · Effective Oct 8, 2018
JL · Effective Nov 17, 2025
National · Effective Jan 1, 2026
J9 · Effective Nov 17, 2025
J5 · Effective Jun 25, 2026
National · Effective Nov 27, 2025
National · Effective Oct 1, 2026
| Jul 1, 2026 |
| Covered |
| Septoplasty | Apr 15, 2026 | Covered |
|---|