TRICARE Policy Manual 6010.60-M, April 2015Chap 8Other ServicesRevision: C-109, Apr 27, 2023Section/Addendum Subject/Addendum Title1.1Ambulance Service2.1Durable Equipment (DE): Basic Program 2.2Infantile Apnea Cardiorespiratory Monitor2.3External And Implantable Infusion Pumps2.4Cold Therapy Devices For Home Use2.5Home Prothrombin Time (PT) International Normalized Ratio (INR) Monitor 2.6Breast Pumps, Breast Pump Supplies, And Breastfeeding Counseling2.7Pulsed Irrigation Evacuation (PIE)3.1Orthoses (Braces And Splints)4.1Prosthetic Devices And Supplies5.1Medical Devices5.2Neuromuscular Electrical Stimulation (NMES) Devices 5.3Continuous Glucose Monitoring System (CGMS) Devices5.4Automated External Defibrillators (AEDs)6.1Medical Supplies And Dressings (Consumables)7.1Nutritional Therapy - For Dates Of Service On or Before December 22, 20177.2Medically Necessary Food - For Dates Of Service On Or After December 23, 2017 7.3Liquid Protein Diets8.1Diabetes Self-Management Training (DSMT) Services 8.2Therapeutic Shoes For Diabetics9.1Pharmacy Benefits Program10.1Oxygen And Oxygen Supplies11.1Podiatry 12.1Wigs Or Hairpiece13.1Adjunctive Dental Care13.2Dental Anesthesia And Institutional Benefit 14.1Physician-Assisted Suicide15.1Custodial Care Transitional Policy (CCTP) 16.1Mucus Clearance Devices17.1Lymphedema18.1Continuous Passive Motion (CPM) Devices19.1Smoking Cessation Counseling20.1Infusion Drug Therapy Delivered In The Home