Pennsylvania Planned Parenthood Affiliates List Endocrine and Gender-Identity Codes for Cross-Sex Hormones

Planned Parenthood of Southeastern Pennsylvania and Planned Parenthood of Western Pennsylvania instruct staff to apply the billing code E34.9 for unspecified endocrine disorders when prescribing cross-sex hormones, Washington Examiner reported. The southeastern affiliate’s website states it typically uses E34.9 and occasionally F64.9.

The western affiliate’s website says it may use either the endocrine disorder code or explicitly gender identity-related codes.

Both sets of guidance have appeared on the sites since at least February 2023 and January 2021, respectively. Planned Parenthood of Southeastern Pennsylvania received more than $10.7 million in taxpayer funds between July 2020 and June 2025.1 million over the same period, according to tax filings.

Dr. Eithan Haim stated that labeling gender dysphoria as an endocrine disease to secure insurance coverage constitutes a deceptive practice. He added that patients who begin hormones receive an endocrine disorder induced by the treatment itself.

Dr. Kurt Miceli wrote that use of alternative codes such as E34.9 is misleading and contrary to ICD-10-CM Official Guidelines for Coding and Reporting. Dr. Miriam Grossman told the Federal Trade Commission that the code E34.9 is being used fraudulently to obtain payment for services provided to physically healthy patients.

Texas Attorney General Ken Paxton’s office noted in a December filing that gender activist organizations encourage health providers to use misleading diagnoses to secure coverage. One physician named in that filing surrendered her license in October. Planned Parenthood did not respond to Washington Examiner requests for comment.