10 commercial payer policies list S0189. 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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10 policies from 5 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of S0189 |
|---|---|---|
| Dry Eyes | Jul 11, 2023 | Covered |
| Implantable Hormone Pellets | Jul 14, 2023 | Covered |
| Policy | Effective | Status of S0189 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Hormone Replacement Therapies | Oct 1, 2026 | Covered |
| Policy | Effective | Status of S0189 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services |
| Jan 1, 2026 |
| Covered |
| Hormone Replacement Therapies | Oct 1, 2026 | Covered |
|---|
| Policy | Effective | Status of S0189 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Hormone Replacement Therapies | Oct 1, 2026 | Covered |
| Policy | Effective | Status of S0189 |
|---|---|---|
| Gender Assignment Surgery and Gender Reassignment Surgery with Related Services | Jan 1, 2026 | Covered |
| Hormone Replacement Therapies | Oct 1, 2026 | Covered |