8 commercial payer policies list 54416. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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8 policies from 4 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 54416 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Sexual Dysfunctions, Assessment and Treatment | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 54416 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Sexual Dysfunctions, Assessment and Treatment | Jan 1, 2026 | Covered |
| Policy | Effective |
|---|
| Status of 54416 |
|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
|---|---|---|
| Sexual Dysfunctions, Assessment and Treatment | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 54416 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Sexual Dysfunctions, Assessment and Treatment | Jan 1, 2026 | Covered |