Under TRICARE's reimbursement policy:
- TRICARE follows 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.
- 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.
Download
Applicable FARS/DFARS Restrictions Apply to Government Use