Admin Table of Contents
Which states cover Medicaid circumcision?
Arizona, California, Florida, Idaho, Louisiana, Maine, Minnesota, Mississippi, Montana, Nevada, North Carolina, North Dakota, Oregon, South Carolina, Utah, and Washington. If you live in a different state, please write to your state Medicaid Director and ask them to discontinue funding for Medicaid circumcisions.
Does Medicaid pay for circumcision in NC 2021?
NC Medicaid, per policy (and legislation), pays for medically necessary circumcisions. 1, 2021, medical necessity for newborn circumcisions has been updated to include any of the following: Congenital obstructive urinary tract anomalies.
Does Medicaid pay for circumcision in Florida?
Beginning today, the procedure is no longer covered by Medicaid in Florida except in limited cases. That means a Medicaid mom who wants her newborn circumcised will have to find some other way to pay for it, while those with private health insurance will generally find the procedure is covered.
Does Medicaid cover circumcision in Georgia?
Elective Circumcision is a Peach State Health Plan (Peach State) covered benefit for male newborn infants performed at the birth hospital before discharge from the newborn nursery or a few days after discharge in the doctors office.
How much is a circumcision for a baby?
In general, the cost of a circumcision is between $250 and $400. The cost is often divided into two bills: one for the procedure and one for the health care provider’s time. Your insurance benefits will determine how much you will have to pay yourself.
Do any insurances cover circumcision?
Routine circumcision for infants often is covered by insurance companies, though some consider it cosmetic. For example, Kaiser Permanente[1] covers routine circumcision for newborns, but covers the procedure only when medically necessary — such as for recurring infections or cancer — for older children and adults.
How much does a teenage circumcision cost?
Cost estimates in the USA for a circumcision are approximate $165 [131] to $257 [133] in infancy, compared with approx. US$1,800-2,000 for circumcision in adolescence or adulthood [131,134]. Even if the adolescent or adult male wants to be circumcised, the cost can be prohibitive.
Will MaineCare pay for weight loss surgery?
Cobean says bariatric surgery is also covered by MaineCare, and even though many people in this state are eligible, only a fraction of them inquire about it.
Does MaineCare cover surgery?
MaineCare does not cover medical or surgical procedures performed solely for cosmetic purposes.
Does Medicaid cover male circumcision in my state?
Circumcision rates lower in states where Medicaid does not cover procedure. The 16 states without Medicaid coverage for male circumcision are California, Oregon, North Dakota, Mississippi, Nevada, Washington, Missouri, Arizona, North Carolina, Montana, Utah, Florida, Maine, Louisiana, Idaho and Minnesota.
Is circumcision medically necessary?
A preponderance of high-quality evidence shows the health benefits of newborn male circumcision outweigh the risks of the procedure and could be considered medically necessary in certain circumstances.
What is the rate of male circumcision in the US?
Researchers found that at hospitals in the 16 states where the procedure is not covered, circumcision rates were 24 percentage points lower than at hospitals in other states, with lower rates particularly prevalent among Hispanics. The mean male circumcision rate for all states was 55.9 percent.
What is the CPT code for circumcision?
Effective Jan. 1, 2021, providers billing for medically necessary circumcisions performed for the prevention of disease for newborn and non-newborn male beneficiaries should submit diagnosis Z29.8 (encounter of other specified prophylactic measures) and an appropriate circumcision procedure code.