NCD for Transgender Surgery
Guidance for in the absence of an NCD, contractors and adjudicators should consider whether any Medicare claims for these items and services are reasonable and necessary under §1862(a)(1)(A) of the Social Security Act consistent with existing guidelines for making such decisions when there is no NCD.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: April 20, 2015
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