Policy: Gender Reassignment Surgery
Policy Number: Gender Reassignment Surgery
Last Update: 2021-04-07
Issued in: Rhode Island

This policy applies to Medicare

Breast Reconstruction:

Breast Augmentation Note: augmentation mammoplasty (including breast prosthesis if necessary) if the physician prescribing hormones and the surgeon have documented that breast enlargement after undergoing hormone treatment for 12 months is not sufficient for comfort in the social role

Facial Reconstruction:

Trachea shave/reduction thyroid chondroplasty: reduction of the thyroid cartilage (31899)

Youth Services:

No age requirement for surgery.