Transcription of GENDER REASSIGNMENT SURGERY MODEL NCD - CMS
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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 ).
international medical community provided a sound scientific basis for coverage despite the lack ... because it indicates a consensus among researchers and mainstream medical organizations that ... Limitations of Coverage No surgery should be performed while a patient is actively psychotic. Excluded procedures
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