Michigan Medicine is proud to provide hysterectomies for transgender people. To access that surgery, please contact any of the offices below and schedule an appointment for a consultation for a hysterectomy.

For hysterectomy and/or vaginectomy (vagina removal) we do not require letters of mental health support by policy. However, most insurance companies require two letters of mental health support before they will authorize insurance coverage for hysterectomies and vaginectomies for gender-affirming care. We strongly encourage patients in need of these surgeries to discuss coverage with their insurance company and initiate the process of obtaining two letters of mental health support for these surgeries. Contact us if you need a referral to a mental health provide for a letter of support.

When speaking with your insurance company to determine whether letters are required for coverage, you may be asked for the "procedure codes" for your surgery. The procedure code (CPT) code for hysterectomy (with or without removal of the ovaries) is 58571; evaluation of the bladder is also performed after all hysterectomies (called cystoscopy) and has the procedure code 52000. The procedure code for vaginectomy is 57110.

You may also be asked for the diagnosis code for surgery. The diagnosis code for gender-affirming hysterectomies and vaginectomies is "gender dysphoria" which has the code: F64.1.

Letters of mental health support for hysterectomy and/or vaginectomy can be sent directly to your surgeon’s office. Letters for Drs. Crissman, Stroumsa, Randolph, Swenson, and Fairchild can be faxed directly to their offices at 734-615-4270. 

Therapists may find this template letter useful in drafting a letter of mental health support for you for your hysterectomy and/or vaginectomy. If your therapist does not have experience writing letters of support for medical intervention for transgender people, please encourage them to contact us before writing the letter. 

The following locations and providers are available:

Von Voigtlander Women’s Hospital – Obstetrics & Gynecology Clinic
Providers: Halley Crissman, MD, John Randolph, MD, Daphna Stroumsa, MD
Phone number: 734-763-6295
Address: 1540 E Hospital Dr SPC 4276
Von Voigtlander Women’s Hospital - Floor 9
Ann Arbor, MI 48109

Please be advised that the Women’s Clinic located in Von Voigtlander Women’s Hospital – and the Von Voigtlander Women’s Hospital generally – have a particular focus on “women’s health” as it relates to reproduction and childbearing. We understand that not all patients wish to be in that environment, but we assure you that Drs. Stroumsa, Randolph, and Crissman welcome all patients to receive care through the Women’s Clinic, regardless of their gender identity.

Northville Health Center – Reproductive Endocrinology Clinic
Provider: John Randolph, MD
Phone number: 248-305-4400
Address: 39901 Traditions Dr, Floor 2
Northville, MI 48168