krr1420
New
Hello,
I work at an outpatient/family practice clinic. Some of our patients are transgender and receive services that are related to their gender transition. Our physicians will usually have diagnosis code E28.39 (other primary ovarian failure) listed as a secondary diagnosis and either F64.0 (transsexualism) or F64.9 (gender identity disorder, unspecified) listed as the primary diagnosis for our trans-female patients. We've been getting a lot of denials from insurance companies stating that the E28.39 is not appropriate because it's inconsistent with the patient's gender and therefore won't pay for the patient's office visit.
Would modifier KX be appropriate to attach to the E/M code? Any advice or guidance on how we can't get insurances to pay for visits related to transgender care would be greatly appreciated.
Thank you!
I work at an outpatient/family practice clinic. Some of our patients are transgender and receive services that are related to their gender transition. Our physicians will usually have diagnosis code E28.39 (other primary ovarian failure) listed as a secondary diagnosis and either F64.0 (transsexualism) or F64.9 (gender identity disorder, unspecified) listed as the primary diagnosis for our trans-female patients. We've been getting a lot of denials from insurance companies stating that the E28.39 is not appropriate because it's inconsistent with the patient's gender and therefore won't pay for the patient's office visit.
Would modifier KX be appropriate to attach to the E/M code? Any advice or guidance on how we can't get insurances to pay for visits related to transgender care would be greatly appreciated.
Thank you!