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The codes used by U.S. medical providers to bill insurers haven’t caught up to the needs of trans patients or even international standards. Consequently, doctors are forced to get creative with what codes they use, or patients spend hours fighting big out-of-pocket bills.
Last year, Tim Chevalier received the first of many coverage denials from his insurance company for the hair removal procedure he needed as part of a phalloplasty, the creation of a penis.
The codes used by U.S. medical providers to bill insurers haven't caught up to the needs of trans patients or even international standards.
The codes used by U.S. medical providers to bill insurers haven’t caught up to the needs of trans patients or even international standards.
State laws that might restrict the rights of gender nonconforming individuals to medical care may put clinicians in conflict with HIPAA rules.