Prior Auth Required

55970 - Gender dysphoria treatment , , The below surgical codes, when billed with one of

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGender dysphoria treatment , , The below surgical codes, when billed with one of
Procedure / Service Description

disease/dialysis services out-of-network provider for dialysis services. The purpose of - Gender dysphoria treatment 55970, 55980, The below surgical codes, when billed with one of the following Dx codes: F64.0 F64.1 F64.2 F64.8 F64.9 Z87.890

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.