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

Alert Arrow ALERT!!

MONTHLY MAINTENANCE: The DHA network is scheduled for monthly maintenance on Saturday, June 19th at 4 AM (MST) until Sunday, June 20th at 10 PM (MST). The TRICARE Manuals web site may be available intermittently during this period but its usage is not recommended.

TRICARE Policy Manual 6010.60-M, April 1, 2015
Providers
Chapter 11
Section 6.1
Ambulatory Surgery
Issue Date:  August 31, 1987
Authority:  Public Law 95-552 and 32 CFR 199.14
Revision:  
1.0  DESCRIPTION
Surgery provided to the patient on an outpatient, walk-in, same day basis in an appropriately equipped and staffed health facility with surgery usually conducted under general anesthesia with no overnight stay in the hospital required. Also called same day surgery.
2.0  POLICY
2.1  Benefits are payable for medically necessary surgical procedures when ordered and provided or supervised by a physician, and performed in authorized freestanding ambulatory surgical facilities or hospital outpatient setting (e.g., a clinic, Ambulatory Surgery Center (ASC), or Emergency Room (ER)).
2.2  Institutional charges submitted by unauthorized ambulatory surgery centers cannot be covered.
2.3  Professional services provided by authorized individual professional providers in an unauthorized ambulatory surgical center will be covered on an outpatient basis if the surgical procedure is a covered benefit.
2.4  Professional services provided by employees of unauthorized centers cannot be covered.
- 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 Frequently Asked Questions 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.

v4.6.7755.23747

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.