Breast Imaging Mammography/Breast Echography (Sonography)/Breast MRI/Ductography
J15 · Effective Oct 1, 2015
29 active Medicare policies list Z03.89, and 3 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
J15 · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J9 · Effective Oct 11, 2015
J15 · Effective Oct 1, 2015
JE · Effective Oct 1, 2015
JF · Effective Oct 1, 2015
JJ · Effective Oct 1, 2015
3 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 Z03.89 |
|---|---|---|
| Sensory and Auditory Integration Therapy | Apr 26, 2023 | Covered |
| Transrectal Ultrasound | Mar 6, 2023 | Covered |
| Policy | Effective | Status of Z03.89 |
|---|---|---|
| Visual Field Testing | Not recorded | Covered |
JM · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
J6 · Effective Oct 1, 2015
JK · Effective Oct 1, 2015
J15 · Effective Oct 1, 2015
National · Effective Dec 4, 2025
National · Effective Jan 22, 2026
National · Effective Oct 1, 2026
J9 · Effective Oct 1, 2024
National · Effective Mar 5, 2026
National · Effective Oct 1, 2026
National · Effective Oct 1, 2026
J6 · Effective Apr 1, 2026
J5 · Effective Apr 30, 2026
J6 · Effective Apr 1, 2026
National · Effective Nov 6, 2025
National · Effective Nov 6, 2025