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Gender Dysphoria and Gender Reassignment Surgery
Effective date
Nov 1, 2026
Identified
Nov 7, 2026
Summary
UnitedHealthcare's Medicare Advantage medical policy for gender dysphoria and gender reassignment surgery was updated in the November 2026 bulletin, adding ICD-10 diagnosis codes F64.A and Z87.893. Billing teams should update diagnosis code lists and claim edits so claims for these services carry the newly added codes where applicable.
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What to do
Action · 1 steps
01Already effective 2026-11-01: Billing team should add ICD-10 codes F64.A and Z87.893 to the diagnosis code reference list and charge entry for gender dysphoria and gender reassignment surgery encounters for Medicare Advantage members, and confirm claim edits accept these codes so claims go out with the correct diagnosis.
Codes mentioned
F64.AZ87.893
Original notice
Gender Dysphoria and Gender Reassignment Surgery
uhcprovider.com · Always check the source before changing claims.
Related changes
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