TRICARE covers ultrasound procedures for the following:
  • Diagnosis, guidance, and post-operative evaluation of surgical procedures
  • Maternity related procedures:
    • Estimating gestational age
    • Evaluating fetal growth
    • Conducting a biophysical evaluation for fetal well-being
    • Evaluating a suspected ectopic pregnancy
    • Defining the cause of vaginal bleeding
    • Diagnosing or evaluating multiple gestations
    • Confirming cardiac activity
    • Evaluating maternal pelvic masses or uterine abnormalities
    • Evaluating suspected hydatidiform mole
    • Evaluating the fetus's condition in late registrants for prenatal care
  • Bone density studies:
    • Diagnosis and monitoring of osteoporosis
    • Diagnosis and monitoring of osteopenia

TRICARE doesn't cover ultrasound for:

  • Routine screening for breast disease
  • To determine the sex of an unborn child
  • Bone density studies for routine screening for osteoporosis
  • For spinal scanning in adults for inflammatory conditions of the spine and nerve roots
  • As guidance for facet joint or epidural injections

This list of covered services is not all inclusive. TRICARE covers services that are medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition. and considered proven. There are special rules or limits on certain services, and some services are excluded.

Last Updated 3/20/2022