Back to Top Skip to main content

Health.mil: the official website of the Military Health System (MHS) and the Defense Health Agency (DHA)

Utility Navigation Links

Alert Arrow ALERT!!

MONTHLY MAINTENANCE: The DHA network is scheduled for monthly maintenance on Saturday, October 24th at 4 AM (MST) until Sunday, October 25th at 10 PM (MST). The TRICARE Manuals web site will not be available during this period. It may be available intermittently during this period but its usage is not recommended.

TRICARE Systems Manual 7950.3-M, April 1, 2015
TRICARE Encounter Data (TED)
Chapter 2
Addendum E
Data Requirements - Other Special Procedure Codes
Copyright:  CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.
Revision:  
Figure 2.E-1  Outpatient Procedure Codes
Description Of Procedures
Codes1
NONINVASIVE CARDIAC DIAGNOSTIC TEST
93025
OFFICE/Outpatient Visit, New Patient
99201-99205
OFFICE/Outpatient Visit, Established Patient
99211-99215
OFFICE Consultation
99241-99245
HOME VISIT, New Patient
99341-99345
HOME VISIT, Established Patient
99347-99350
NEWBORN CARE, Not In Hospital
99461
HOME INFUSION THERAPY
S5036-S5523
Figure 2.E-2  Defense Health Agency (DHA)-Approved Procedure Codes For Retail And Mail Order Pharmacy (MOP) Only
Description Of Procedures
Codes
The following are special codes that are valid and payable.
Drugs; the procedure code to be used for all Drug TED records
98800
Prescription Medical Necessity Reviews
000MN
Prescription Prior Authorizations
000PA
- END -

Utility Navigation Links

DoD Seal

tricare.mil is the offical 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 Resources 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.

v4.5.7082.22297

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.