Cosmetic and Reconstructive Surgery
JJ · Effective Oct 1, 2015
25 active Medicare policies list S05.42XS, 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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JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
JE · Effective Oct 8, 2018
JF · Effective Oct 8, 2018
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 S05.42XS |
|---|---|---|
| Extended Ophthalmoscopy | Not recorded | Covered |
| External Ocular Photography | Not recorded | Covered |
| Fundus Photography | Not recorded | Covered |
| Policy | Effective | Status of S05.42XS |
|---|---|---|
| Blepharoplasty, Blepharoptosis Repair, and Brow Lift | Jan 6, 2026 | Covered |
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
National · Effective Jan 1, 2026
National · Effective Apr 16, 2026
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
JL · Effective Oct 1, 2025
National · Effective Oct 1, 2026
National · Effective Apr 20, 2026
National · Effective Oct 1, 2026
J6 · Effective Apr 1, 2026
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J6 · Effective Apr 1, 2026