d. Clitoroplasty.
e. Labiaplasty
B. The following surgeries required for female-to-male are
medically necessary if all the criteria listed in sections I. through
V. are met:
a. Hysterectomy.
b. Salpingo-oophorectomy.
c. Vaginectomy.
d. Phalloplasty.
e. Metoidioplasty.
f.
Scrotoplasty.
g. Urethroplasty.
h. Testicular prostheses implantation.
i.
Mastectomy.
j.
Reduction mammoplasty.
2. Byne W, Bradley SJ, Coleman E, Eyler AE, Green R, Menvielle
EJ, Meyer-Bahlburg HF, Pleak RR, Tompkins DA; American
Psychiatric Association Task Force on Treatment of Gender
Identity Disorder. Report of the American Psychiatric Association Task Force on Treatment of Gender Identity Disorder.
Arch Sex Behav. 2012 Aug; 41(4):759-96.
3. VHA Directive 2013-003, Providing health care for transgender
and intersex Veterans. Department of Veterans Affairs, Veterans
Health Administration, Washington DC, Feb. 8, 2013. www.
va.gov/vhapublications/ViewPublication.asp?pub_ID=2863
Accessed Oct. 19, 2014.
4. Standards of Care for the health of transsexual, transgender, and
gender non-conforming people. 7th Version, World Professional
Association for Transgender Health, 2012. admin.associationsonline.com/uploaded_files/140/files/Standards%20of%20
Care,%20V7%20Full%20Book.pdf Accessed Oct. 19, 2014.
Note: Dr. James is the Corporate Medical Director of Clinical Policy
at The AmeriHealth Caritas Family of Companies in Philadelphia. He
has a part-time practice within Main Line Healthcare in Philadelphia.
References:
1. American Psychological Association. APA Policy Statement:
Transgender, Gender Identity & Gender Expression Non-Discrimination.: 2008 www.apa.org/about/policy/transgender.aspx
Accessed Oct. 19th, 2014
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DECEMBER 2014
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