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2012 Texas Medicaid Provider Procedures Manual

Gynecological and Reproductive Health and Family Planning Services Handbook : 5. Gynecological Health Services : 5.12 Surgery for Masculinized Females

5.12 Surgery for Masculinized Females
Masculinized females possess ovaries and are female by genetic sex but the external genitalia are not those of a normal female. Surgical correction of abnormalities of the external genitalia is the only indicated treatment for this disorder. Procedure codes 56805 and 57335 may be considered for reimbursement for female clients who are 20 years of age and younger when submitted for reimbursement with diagnosis code 2552, 25950, 25951, 25952, or 7527.

Texas Medicaid & Healthcare Partnership
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