Back to Top Skip to main content the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

TRICARE Policy Manual 6010.63-M, April 2021
Chapter 3
Section 1.1
Issue Date:  
Copyright:  CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.
00100 - 01999, 99100, 99116, 99135, 99140
2.1  Anesthesia services and supplies are covered.
2.2  See Section 1.2 for conscious sedation.
2.3  See the TRICARE Reimbursement Manual (TRM), Chapter 1, Section 9 for information on reimbursement of anesthesia.
3.1  Hypnotherapy.
3.2  A separate benefit is not payable for general anesthesia administered by the attending physician (surgeon or obstetrician) or dentist, or by the surgical, obstetrical or dental assistant. This exclusion does not apply to cases involving administration of local or regional anesthesia such as local anesthesia administered by a surgeon in the surgeon’s office, by an obstetrician in a delivery room, or by an orthopedic surgeon in an operating room.
3.3  Acupuncture.
3.4  The use of a Stellate Ganglion Block (SGB) (Current Procedural Terminology (CPT) code 64510) for the treatment of Post-Traumatic Stress Disorder (PTSD) is unproven.
- END -

Utility Navigation Links

DoD Seal 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.


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.