Provider Resources
Ambulatory Surgery Rates

The payment rates established under this system apply only to the facility charges for Ambulatory Surgery.

The Ambulatory Surgery Rates System contains numeric Current Procedural Terminology (CPT) codes copyright 1999 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

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ATTENTION! The list of TRICARE-approved ambulatory surgery procedures periodically changes-codes may be added, deleted, or moved to different groups. These changes are not reflected in the tables that can be downloaded. Therefore, in order to verify the current status of any code, you may refer to the TRICARE/CHAMPUS Policy Manual, Chapter 13, Section 9.1, Addendum 1 (either the December 1998 or the June 1999 version).

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