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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."

Bundled Codes

Under TRICARE's reimbursement policy, TRICARE will follow Medicare’s bundling provisions for professional services. All services integral to accomplishing a procedure are considered bundled into that procedure and, therefore, are considered a component part of the comprehensive code. Many of these generic activities are common to virtually all procedures and, on other occasions, some are integral to only a certain group of procedures, but are still essential to accomplish these particular procedures. Accordingly, it is inappropriate to separately bill these services based on standard medical and surgical principles. The following list of CPT/HCPCS Codes specifies those services that are not paid separately.

   

Applicable FARS/DFARS Restrictions Apply to Government Use