MedicaidPrior AuthMedium impact
Treatment for Gender Identity Disorder - Gender Reassignment Surgery and Procedures
Connecticut Medicaid (HUSKY Health)·CT · Urology, OB-GYN, Plastic Surgery +1 more·Provider Bulletin
Effective date
Nov 1, 2016
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid (HUSKY Health A, C, D) now covers gender reassignment surgery with specific prior authorization and billing requirements. Professional services must use unlisted procedure codes 55899 or 58999 with individual component codes for authorization, but bill only the unlisted codes with diagnosis F64.1.
Action Required
For Connecticut HUSKY Health members: Billing team must update prior authorization process to request gender reassignment surgery using CPT 55899 (male procedures) or 58999 (female procedures) plus list all individual component codes. Submit authorization requests to CHNCT at fax (203) 265-3994. When billing approved claims, use only CPT 55899 or 58999 with ICD-10 F64.1. Update billing system to require prior authorization for these procedures. Claims without proper authorization will be denied.