Z87.8904: Personal history of intersex surgery

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

Z87.8904 is named in 7 Medicare coverage policies: 5 listing it as supporting medical necessity, and 2 listing it as NOT covered. Which one applies depends on your Medicare contractor.

• A52434Health and Behavior Assessment/Intervention – Medical Policy Articlenot covered
• A56865Billing and Coding: Psychiatric Inpatient Hospitalizationnot covered
• A53793Billing and Coding: Sex Reassignment Services for Sexual Identity Dysphoria
• A57053Billing and Coding: Psychiatric Partial Hospitalization Programs