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HPOB
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April 1, 2015
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Foreword
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Revision:Â Â C-42, September 27, 2019
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The TRICARE Reimbursement Manual
(TRM) 6010.61-M, in conjunction with the TRICARE Policy Manual (TPM),
6010.60-M, contains operational policy necessary to efficiently
implement the Code of Federal Regulations at 32 CFR 199. This manual
augments the 32 CFR 199 and must be used in conjunction for complete
policy information, providing guidance, policy interpretation and
decisions implementing TRICARE, including those policies and procedures
applicable to the TRICARE Health Plan.
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The Department of Defense (DoD)
has a License Agreement with the American Medical Association (AMA)
regarding the use of the Physician’s Current Procedural Terminology
(CPT), a coding work of medical nomenclature developed by the AMA.
In accordance with the terms of that Agreement, the DoD has agreed
to:
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1.
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Include Copyright notice in
every section that references CPT codes;
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2.
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Specifically identify procedure
codes as CPT procedure codes;
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3.
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Use only short descriptions
with CPT codes and delete all long descriptions; and
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4.
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Italicize short descriptions
wherever they are used.
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The TRICARE Manuals provide
instructions, guidance and responsibilities in addition to the requirements
set forth in the incorporated federal statutes and the regulations
and may not be interpreted in contradiction thereto.
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John L. Arendale, Branch
Chief
Health Plan Operations
Branch (HPOB)
Defense Health Agency
(DHA)
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Definitions are available in
the Apr 2015 TRICARE Operations Manual (TOM), Appendix A. |
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ATTENTION
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Links from the documents contained
within this manual (and placed on the TRICARE Manuals web site)
may include links providing direct access to other Internet resources,
including web sites. Because of the dynamic nature of the Internet,
Defense Health Agency (DHA) cannot be responsible for the accuracy
of or content of information contained in the links to other web
sites.
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