AprilSueMadison
Expert
I am getting more and more instruction to simply code an endocrine disorder for patients seeking transgender care/hormone therapy. There is no test done before showing an endocrine disorder. The diagnosis is being used simply so the insurance company will cover the visit. This instruction is coming from not only internal, but from the insurance company as well. Let's say UHC for example, will only cover hormone therapy when the visit is coded with E34.9. Perhaps this is coming from my lack of knowledge concerning transgender patients and hormones....but if no lab test is done that reflects an endocrine disorder....I can't code E34.9. is that correct? Is there something more about hormone therapy that I'm missing? I'm at a complete loss.