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TRICARE Reimbursement Manual 6010.64-M, April 2021
General
Chapter 1
Section 32
Hospital-Based Birthing Room
Issue Date:  May 23, 1988
Authority:  32 CFR 199.4(e)(16)
Revision:  
1.0  POLICY
1.1  Childbirth service provided in a hospital-based outpatient birthing room for an expected normal delivery shall be cost-shared as ambulatory surgery.
1.2  Maternity care for a normal, uncomplicated pregnancy related to a planned childbirth in a hospital-based outpatient birthing room is cost-shared as ambulatory surgery.
1.3  The hospital-based outpatient birthing room services and related maternity care are to be considered one episode of maternity care for adjudication.
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