III.2.7 Sex

Definitions:

Intersex: A person born with ambiguous reproductive or sexual anatomy; chromosomal genotype and sexual phenotype other than XY-male and XX-female.

Transsexual: A person who has undergone (or is in the process of) surgical alteration to achieve gender opposite to their sex at birth, i.e. surgically altered gender.

Transgender/Transgendered person: A person who identifies with or expresses a gender identity that differs from the one which corresponds to the person’s sex at birth.

Coding Instructions:

• Enter the appropriate code for the patient’s gender using the table below.

• Code the natal sex (sex at birth) when known over transsexual or transgender, NOS.

• Assign code 3 for:

• Intersexed (persons with sex chromosome abnormalities).

• Hermaphrodite

• Assign code 4 for transsexuals/transgender/transgendered with unknown natal sex and primary site is not C510-C589 or C600-C639.

• Assign code 5 for transsexuals who are natally male or transsexuals with primary site of C600-C639.

• Assign code 6 for transsexuals who are natally female or transsexuals with primary site of C510-C589.

• Codes 5 & 6 may be used to cases for cases diagnosed prior to 2015.

When patient’s gender is unknown:

• • Code to 1 when primary site is C600-C639.

  • Code to 2 when Primary site is C510-C589.

  • Code to 9 for primary sites not included above.

• The CCR requires text documentation to support the sex field code.

Codes:

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