The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) make considerations for gender reassignment surgeries on a case by case basis, per a CMS final decision memorandum (DM) and the lack of prior national coverage determination (NCD).
Subject: Gender Dysphoria and Gender Reassignment Surgery
Release Date: March 3, 2017
Effective Date: August 30, 2016
Implementation Date: April 4, 2017
Special Notes: N/A