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TRICARE Reimbursement Manual 6010.64-M, April 2021
Birthing Centers
Chapter 10
Addendum A
Birthing Center Rate Non-Professional Component
For services provided on or after April 1, 2018, the non-professional component or facility component of the birthing center all-inclusive rate is now the one-day Diagnosis Related Group (DRG) Short-Stay Outlier (SSO) for DRG 775 (uncomplicated vaginal birth) adjusted for geographic cost variations. Since DRG 775 has been deleted by the Centers for Medicare and Medicaid Services (CMS) starting in Fiscal Year (FY) 2019, Defense Health Agency (DHA) is replacing DRG 775 with the one-day SSO for DRG 807 (uncomplicated vaginal birth without sterilization/D&C) adjusted for geographic cost variations, effective for service dates on or after October 1, 2018. The DRG ZIP-to-wage index files shall be used for adjusting the facility component rate for geographical labor cost variations. The FY 2018 and FY 2019 DRG rates are available on the DRG Rates page of the Military Health System (MHS) website at The birthing center rates information for subsequent future FYs will no longer be published in this manual (Chapter 10, Addendum A) since the rates are located on the DRG Rates page of the MHS website.
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