GENDER REASSIGNMENT SURGERY MODEL NCD - CMS

GENDER REASSIGNMENT SURGERY MODEL NCD I. Indications, Limitations of Coverage and/or Medical Necessity 1 II. Documentation Requirements 4 III. Providers of GENDER REASSIGNMENT SURGERY 5 IV. Common cpt codes 5 V. ICD-9 and ICD-10 Codes 8 VI. References 9 Written by Transgender Medicine MODEL NCD Working Group. Contact: Anand Kalra, Transgender Law Center GENDER REASSIGNMENT SURGERY MODEL NCD | 1 I. Indications, Limitations of Coverage and/or Medical Necessity The purpose of this National Coverage Determination is to implement the Department of Health and Human Services Departmental Appeals Board s 2014 decision overturning NCD (Transsexual SURGERY ).

III. Providers of Gender Reassignment Surgery 5 IV. Common CPT Codes 5 V. ICD-9 and ICD-10 Codes 8 VI. References 9 Written by Transgender Medicine Model NCD Working Group. Contact: Anand Kalra, Transgender Law Center (anand@transgenderlawcenter.org).

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  Code, Model, Surgery, Gender, Cpt codes, Reassignments, Gender reassignment surgery model ncd

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