Back to Top Skip to main content

Health.mil: the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

TRICARE Policy Manual 6010.60-M, April 1, 2015
Other Services
Chapter 8
Section 12.1
Wigs Or Hairpiece
Issue Date:  April 19, 1983
Authority:  10 USC 1074(c) and 32 CFR 199.4(g)(41)
Revision:  C-52, September 20, 2019
1.0  HCPCS Procedure Code
A9282
2.0  POLICY
2.1  Benefits may be extended in accordance with the allowable charge, for one wig (also known as cranial prosthesis) or hairpiece per beneficiary (lifetime maximum) when the attending physician certifies that alopecia has resulted from the treatment of a malignant disease and the beneficiary certifies that a wig or hairpiece has not been obtained previously through the U.S. Government (including the Department of Veterans Affairs/Veterans Health Administration (DVA/VHA)).
2.2  Allowable Charge. Effective January 1, 2011, the allowable charge may not exceed the Calendar Year (CY) rate specified in paragraph 2.3 per wig or hairpiece. If the wig or hairpiece purchased by the beneficiary exceeds this maximum amount, TRICARE shall reimburse only up to the allowable amount. This amount shall be updated annually by using the Consumer Price Index-Urban (CPI-U). The updated amount will be published in this section.
2.3  The allowable charge per wig or hairpiece may not exceed:
•  $2,213 for 2016
•  $2,213 for 2017
•  $2,246 for 2018
•  $2,295 for 2019
3.0  EXCLUSIONS
The wig /cranial prosthesis or hairpiece benefit does not include coverage for the following:
3.1  Alopecia resulting from conditions other than treatment of malignant disease.
3.2  Maintenance, supplies, or replacement of the wig/cranial prosthesis or hairpiece. Statutory provisions limit these items to one furnished at the expense of the Government (i.e., prosthetic replacement provisions do not apply).
3.3  Hair transplants or any other surgical procedure involving the attachment of hair or a wig or hairpiece to the scalp.
3.4  Any diagnostic or therapeutic method or supply intended to encourage hair regrowth.
- END -

Utility Navigation Links

DoD Seal

tricare.mil is the official website of the Defense Health Agency (DHA) a component of the Military Health System

TRICARE is a registered trademark of the Department of Defense (DoD), DHA. All rights reserved.

CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.

If you have a question regarding TRICARE benefits, please go to the TRICARE Contact Us page page.
If you need help with technical/operational issues, please go to the TRICARE Manuals Online Help page.

The appearance of hyperlinks to external websites does not constitute endorsement by the DHA of these websites or the information, products or services contained therein. For other than authorized government activities, the DHA does not exercise any editorial control over the information you may find at other locations. Such links are provided consistent with the stated purpose of this DoD website.

v4.11.8372.15705

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

Some documents are presented in Portable Document Format (PDF). A PDF reader is required for viewing. Download a PDF Reader or learn more about PDFs.