Documenting the West’s descent into Satanic receivership at the hands of the gender goblins and their allies in media and government.
‘Wolves in White Coats’
A major theme that we have explored here at Sodom and Gomorrica often is that, rather than merely an organic social phenomenon of liberal embrace of children’s deeply felt and intrinsic gender identities previously repressed by transphobic society, the child trannification regime foisted on the Western world over the last twelve years or so was a top-down social engineering project, driven in no small part by medical industry profiteering.
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On that topic, the Department of Health and Human Services recently released a report called Wolves in White Coats: How Doctors and Hospitals Pushed and Profited from the Fraud of “Gender Medicine,” exploring the abuse of the insurance coding system by hundreds of “pediatric gender clinics” nationwide in order to bankroll their lucrative chemical castration programs.
Via U.S. Department of Health and Human Services (emphasis added):
More than 225 hospitals and health systems established pediatric gender programs nationwide. The report also analyzes nationwide claims data from 2015 through 2025 and identifies approximately $50 million in insurance claims for puberty blockers billed using endocrine disorder diagnostic code E34.9 (Endocrine Disorder, Unspecified). It further reports that nearly $11 million in claims for patients ages 13–17 were billed using a diagnosis code for precocious puberty E301 — findings the report says warrant additional review of insurance coding practices.
Pursuant to that recommendation, today Vice President JD Vance, as Chairman of the White House Task Force to Eliminate Fraud, and Secretary Kennedy referred hospitals and clinics identified by the report to the Department of Justice and the HHS Office of Inspector General, respectively, for possible violations of federal law…
The report’s claims analysis draws on nationwide insurance billing data and reviews federal medical coding guidance to examine billing patterns associated with puberty blockers prescribed to minors. The report recommends continued oversight of insurance coding practices and appropriate review of billing activity that may warrant further investigation under applicable federal and state authorities.
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The above-referenced loophole in the coding system, E34.9, was originally intended not as a convenient excuse to maim children’s genitals but rather for use in “unspecified endocrine disorders” where other categories fail.
Via MD Clarity (emphasis added):
ICD code E34.9 is an unspecified endocrine disorder, used when a patient has an endocrine system condition that does not fit into a more specific category.
When to use ICD code E34.9
1. Presence of clinical signs or symptoms suggestive of an endocrine disorder
2. Laboratory or imaging studies indicating endocrine dysfunction
3. Inability to specify the exact type or cause of the endocrine disorder after evaluation
4. Absence of sufficient information to assign a more specific endocrine diagnosis
5. Documentation of an endocrine abnormality that does not fit established categories
6. Persistent or recurrent endocrine-related symptoms without a definitive diagnosis
Billable CPT codes for ICD code E34.9
Relevant CPT codes that may be used to treat ICD code E34.9 include:
- 99202–99215 (Office or other outpatient evaluation and management services)
- 83036 (Hemoglobin A1c)
- 84443 (Thyroid stimulating hormone [TSH])
- 84439 (Free thyroxine [T4])
- 84436 (Total thyroxine [T4])
- 82136 (Insulin, total)
- 82947 (Glucose; quantitative, blood [except reagent strip])
- 80048 (Basic metabolic panel)
- 80053 (Comprehensive metabolic panel)
- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)
- 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour)
These CPT codes are commonly associated with the evaluation, management, and laboratory testing for patients with ICD code E34.9. Specific coding should be based on the clinical scenario and services provided.
Of course, the child trannyists will claim that “gender dysphoria” in children approaching puberty is actually a real endocrine disorder that requires medical intervention, but that’s because they’re shameless cretins who are either totally ideologically captured or predatory sociopaths — or both.
