amexnikki23
Guest
Scenario: a transgender patient who identifies with and looks like a male, and marks his gender as "M" on his demo sheet but is still legally a female according to driver's license. For billing purposes, we bill under their legal gender of female. If that patient is here for a testosterone injection, and you were to use a diagnosis of "low T" or something of that nature, it is incorrect because the patient is still technically a female and could not possibly have "low T" -physiologically OR technically. Therefore, claim is denied (unless insurance has coverage for transgender related services, which is really not the point of this post, please read on...).
New Scenario: same patient gets his legal ID and gender marker changed to "M" and now is considered legally to be a male. Since this person is a male in the eyes of the government, he is no longer required to be reported a transgender (or is he?) and since, as a male, he produces no testosterone because of his internal make-up, he can now technically be diagnosed with a testosterone deficiency, and hence, billed to the insurance as a male receiving testosterone injections. All thoughts and opinions welcome!
New Scenario: same patient gets his legal ID and gender marker changed to "M" and now is considered legally to be a male. Since this person is a male in the eyes of the government, he is no longer required to be reported a transgender (or is he?) and since, as a male, he produces no testosterone because of his internal make-up, he can now technically be diagnosed with a testosterone deficiency, and hence, billed to the insurance as a male receiving testosterone injections. All thoughts and opinions welcome!