Wiki coverage ?

RebeccaB

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Hi everyone,
One of our physicians has a patient that wants to have an orchiectomy..diagnosis of gender dysphoria, patient has Medicare (NGS WI) and Medicaid(State of WI)
I have not been able to find coverage policy for either..anyone know if there is a policy & I'm just missing it
Any help appreciated
Thanks
Rebecca
 
Palmetto GBA has a local coverage article (A53793, link below) for their Medicare jurisdictions that does list the conditions which support this situation. I suspect that an elective orchiectomy is such a relatively low frequency occurrence for the Medicare population that it's unlikely that many payers will invest the resources to develop a formal policy to target this, but you never know.

 
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