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TRICARE Systems Manual 7950.3-M, April 1, 2015
TRICARE Encounter Data (TED)
Chapter 2
Addendum E
Data Requirements - Other Special Procedure Codes
Copyright:  CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.
Revision:  
Figure 2.E-1  Outpatient Procedure Codes
Description Of Procedures
Codes1
NONINVASIVE CARDIAC DIAGNOSTIC TEST
93025
OFFICE/Outpatient Visit, New Patient
99201-99205
OFFICE/Outpatient Visit, Established Patient
99211-99215
OFFICE Consultation
99241-99245
HOME VISIT, New Patient
99341-99345
HOME VISIT, Established Patient
99347-99350
NEWBORN CARE, Not In Hospital
99461
HOME INFUSION THERAPY
S5036-S5523
Figure 2.E-2  Defense Health Agency (DHA)-Approved Procedure Codes For Retail And Mail Order Pharmacy (MOP) Only
Description Of Procedures
Codes
The following are special codes that are valid and payable.
Drugs; the procedure code to be used for all Drug TED records
98800
Prescription Medical Necessity Reviews
000MN
Prescription Prior Authorizations
000PA
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