For the list of the No Government Pay Procedure
Codes that are excluded from TRICARE coverage and are not payable
under TRICARE, refer to the No Government Pay List (NGPL) on Defense Health
Agency's (DHA's) website
at
http://health.mil/Military-Health-Topics/Business-Support/Rates-and-Reimbursement/No-Government-Pay-Procedure-Code-List.
The
NGPL shall be used in conjunction with
the TRICARE Policy Manual (TPM), which in addition to any definitions,
requirements, conditions, or limitations enumerated and described
in other sections of the Manuals, provides clarification and additional
services, equipment and supplies that are specifically excluded
from payment under TRICARE.