Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
J15 · Effective Oct 1, 2015
25 active Medicare policies list S21.011A, and 1 commercial payer policy lists 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
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
JE · Effective Nov 28, 2021
JF · Effective Nov 28, 2021
1 policy from 1 payer
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of S21.011A |
|---|---|---|
| Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures | Jul 1, 2026 | Covered |
J5 · Effective Apr 16, 2018
J8 · Effective Apr 16, 2018
National · Effective Dec 4, 2025
National · Effective Oct 1, 2026
National · Effective Apr 16, 2026
National · Effective Oct 1, 2026
J5 · Effective Jul 1, 2026
J5 · Effective Oct 1, 2025
National · Effective Apr 20, 2026
National · Effective Oct 1, 2026
National · Effective Oct 1, 2025
JL · Effective Oct 1, 2025
J9 · Effective Oct 1, 2025
National · Effective Oct 1, 2026
J5 · Effective Oct 1, 2026