Cosmetic and Reconstructive Surgery
J15 · Effective May 28, 2023
9 active Medicare policies list Z90.13, and 7 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.
Free account. Policy pages stay open to everyone.
J15 · Effective May 28, 2023
JJ · Effective Oct 1, 2015
JM · Effective Oct 1, 2015
J5 · Effective Nov 14, 2021
J8 · Effective Nov 14, 2021
National · Effective Jan 1, 2026
J5 · Effective Jun 25, 2026
National · Effective Nov 27, 2025
National · Effective Oct 1, 2025
7 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 Z90.13 |
|---|---|---|
| Breast Reconstructive Surgery | Apr 7, 2023 | Covered |
| Cosmetic Surgery and Procedures | Feb 8, 2024 | Covered |
| Cryoanalgesia and Therapeutic Cold | Mar 16, 2023 | Covered |
| External Breast Prosthesis | Dec 15, 2023 | Covered |
| Skin and Soft Tissue Substitutes | Feb 9, 2024 | Covered |
| Policy |
|---|
| Effective |
|---|
| Status of Z90.13 |
|---|
| Breast Procedures; including Reconstructive Surgery, Implants and Other Breast Procedures | Jul 1, 2026 | Covered |
|---|---|---|
| Cosmetic and Reconstructive Services of the Trunk, Groin, and Extremities | Oct 1, 2026 | Covered |