2.0 DESCRIPTION
Intersex involves an individual
who shows intermingling, in varying degrees, of the characteristics
of each sex, including physical form, reproductive organs, and sexual
behavior.
4.0 EXCLUSION
All services and supplies directly
and indirectly related to surgical treatment (i.e.,
sex gender change), except when performed to correct ambiguous
genitalia which is documented to have
been present at birth (CPT procedure
codes 55970 and 55980).