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UNOFFICIAL 1737-103 (19) Personal comfort items such as radios, televisions, telephones, fans, or air conditioners; (20) Standard household items such as beds, linens, cooking utensils, or blenders; (21) Cosmetic, reconstructive, or plastic surgery performed primarily to improve or change

physical appearance, performed primarily for psychological purposes, or to restore form

but which does not correct or materially improve bodily function. However, consideration may be given when the purpose of the procedure is to: (A) Correct a congenital anomaly; (B) Restore body form following an accidental injury; or (C) Revise disfigurement or extensive scars, or both, resulting from neoplastic surgery; (22) Specific cosmetic surgery procedures including: (A) Sex transformation treatments, procedures, hormones, or other

medication for the establishment or

maintenance of gender reassignment except that medication may be allowed if the sex of the individual has been changed by court order; (B) Cosmetic, reconstructive, or plastic surgery procedures performed primarily for psychological reasons or as a result of the aging process; (C) Augmentation mammoplasties except following medically indicated

mastectomies for carcinoma, precancerous conditions, or extensive fibrosis or traumatic amputation; (D) Reduction mammoplasties unless there is medical documentation of intractable

pain not amenable to other forms of treatment as a result of increasingly large pendulous breasts; (E) Paniculectomies and other body sculpturing procedures; (F) Removal of tattoos; (G) Hair transplants; (H) Electrolysis; (I) Insertion of testicular prostheses, unilateral or bilateral;