Skip to main content

Military Health System

Utility Navigation Links

WEEKEND MAINTENANCE: The maintenance outage is scheduled for June 22nd at 6:00am EST ending NLT Sunday, June 23rd at 11:59pm Eastern EST. The TRICARE Manuals web site may be available intermittently during this period but it's usage is not recommended.

TRICARE Reimbursement Manual 6010.61-M, April 1, 2015
A picture of the Defense Health Agency (DHA) letterhead.
HPOB
April 1, 2015
Foreword
Revision:  C-42, September 27, 2019
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.
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:
1.
Include Copyright notice in every section that references CPT codes;
2.
Specifically identify procedure codes as CPT procedure codes;
3.
Use only short descriptions with CPT codes and delete all long descriptions; and
4.
Italicize short descriptions wherever they are used.
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.
Digital signature of Section Chief (or designee) of Health Plan Operations Sections (HPOS), Defense Health Agency (DHA).
John L. Arendale, Branch Chief
Health Plan Operations Branch (HPOB)
Defense Health Agency (DHA)
Definitions are available in the Apr 2015 TRICARE Operations Manual (TOM), Appendix A.
ATTENTION
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.
Follow us on Instagram Follow us on LinkedIn Follow us on Facebook Follow us on Twitter Follow us on YouTube Sign up on GovDelivery