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Many trans patients have trouble getting their insurers to cover gender-affirming care. One reason is transphobia within the U.S. health care system, but another involves how medical diagnoses and procedures are coded for insurance companies. Advocates for transgender people say those codes haven’t caught up to the needs of patients. Such diagnostic codes provide the basis for determining which procedures, such as electrolysis or surgery, insurance will cover.

Indiana universityUnited statesLos angelesMichael bowmanJohanna olson kennedyNick gortonTim chevalierChristian lindmeierEric meiningerAmerican medical associationIndiana university health gender programInternational classification of diseasesWorld health organizationShelby knowles kaiser health newsTransyouth healthCalifornia department of managed health care