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Defense Health Agency

"On October 1, 2013, the Department of Defense established the Defense Health Agency (DHA) to manage the activities of the Military Health System. These activities include those previously managed by TRICARE Management Activity (TMA), which was disestablished on the same date. During the next several months, all TMA websites will change to reflect the new DHA. We appreciate your patience during this transition."

Limits on Number of Services without Override Code

This list contains Maximum Numbers of Services Per Day for Procedure Codes. A TRICARE Encounter Data (TED) Record will be rejected if it contains a code on this list and a Number of Services Per Day which exceeds the maximum for that code. If the TRICARE contractor has determined that a Number of Services Per Day which exceeds the maximum is medically necessary, they must indicate that by using an Override Code of NS.

The existence of a Procedure Code on this list does not necessarily mean that it is payable. TRICARE's No Government Pay List and all other TRICARE Policy constraints on payment continue to apply.

   

Applicable FARS/DFARS Restrictions Apply to Government Use