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Coding


Use these coding references to help you when billing TRICARE.

 

Revenue Codes with Valid HCPCS Codes Table

DME POS Rates

State Prevailing Rates

North Remit Status Codes

Taxonomy Codes

Government No Pay Codes

New, deleted and revised ICD-9-CM Codes

Use correct 11 digit National Drug Codes 

 

Unclassified Procedure Codes

Please note: If a standard CPT 4 or HCPCS code is available but an unclassified code is used, TRICARE cannot pay for the service. Unclassified procedure codes must be accompanied by documentation of the service as well as an explanation as to why a more specific code was not used.


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