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CO HCPF Gender-Affirming Care Billing Manual — General Billing Information

GeneralBillingInformation

activein force · 2026-07-26 – presentas-observed

RefertotheGeneralProviderInformationManuallocatedontheBillingManualswebpageforgeneralbillinginformation.

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Manyproceduresthatarerestrictedtoamember'sassignedsexatbirthwillstillbemedicallynecessaryafterlegallychangingtheirgender.Ifagender-specificprocedureconflictswiththemember'sidentifiedgenderintheColoradoBenefitsManagementSystem(CBMS),pleasefollowthebillingguidancebelow:

CMS-1500/837PClaims:EntertheKXmodifierontheappropriatelineitems.

UB-04/837IClaims:Providersshouldenterconditioncode45toindicateaprocedureismedicallynecessarydespiteagenderconflict.

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Allpriorauthorizationrequestsmustprovidedocumentationdemonstratingthattheapplicablerequirementsin10CCR2505-108.735.4havebeenmet.Priorauthorizationrequestsforhormonetherapyservicesmustbesubmittedinaccordancewiththerequirementsin10CCR2505-108.800.7.

Forallcoveredservices,generalrequirementsforpriorauthorizationrequestsinclude:

Memberhasaclinicaldiagnosisofgenderdysphoria

Requestedserviceismedicallynecessary,asdefinedinsection8.076.1.8

Anyco-existingphysicalandbehavioralhealthconditionsdonotinterferewithdiagnosticclarityorcapacitytoconsent,andassociatedrisksandbenefitshavebeendiscussed

Memberhasgiveninformedconsentfortheservice

SubjecttotheexceptionsinC.R.S.§13-22-103,ifmemberisunder18yearsofage,member'sparent(s)orlegalguardianhasgiveninformedconsentfortheservice

Forhormonetherapyservices,inadditiontotheabovegeneralrequirements,themember'shealthcareprovidershallprovideanyinformationrequestedbytheFiscalAgentincluding,butnotlimitedto:

Membername,HealthFirstColoradoidentificationnumber,andbirthdate

Nameofthedrug(s)requested

Strengthandquantityofdrug(s)requested

Prescriber'snameandmedicallicensenumber,DrugEnforcementAdministrationnumber,orNationalProviderIdentifier

Forsurgicalprocedures,inadditiontotheabovegeneralrequirements,priorauthorizationrequestsmustprovidedocumentationdemonstratingthatthemember:

Is18yearsofageorolder

Thisrequirementdoesnotapplytomastectomysurgeries.

12continuousmonthsofhormonetherapyarerequiredformammoplasty,unlesshormonetherapyisnotclinicallyindicatedorisinconsistentwiththeclient’sdesires,goals,orexpressionsofgender-identity.

Understandsthepotentialeffectofthegender-affirmingsurgeryonfertility

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Provenance

Source
hcpf.colorado.gov
Retrieved
2026-07-26
Edition
2026-07-26
Content hash
53d7d01824553c90f8c3c1e00e6c41218619e2ee1f4ce5bddcb1d1b4f8fd9439
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