 |
Notes to Providers
TRICARE Benefit Updates
|
Percutaneous Vertebroplasty
May 1, 2008-CPT procedure codes 22520-22522, S2360, S2361) and balloon kyphoplasty (CPT procedure codes 22523-22525) are covered for the treatment of painful osteolytic lesions and osteoporotic compression fractures refractory to conservative medical treatment.
Lung Volume Reduction Surgery (LVRS)
February 2, 2008-LVRS for late stage emphysema is now a covered TRICARE benefit, but only at select facilities. LVRS must be performed at facilities that are:
3D Maternity Ultrasound Rendering
July, 2007-Current Procedural terminology (CPT) procedure codes 76376 and 76377 with maternity ultrasound is regarded as unproven, and is therefore, excluded from coverage. TRICARE Policy Manual Chapter 5, Section 2.1
Dental Anesthesia
July 1, 2007-An important addition to TRICARE covered benefits did not make it into the 2007 version of the provider handbook. This addition is a NEW DENTAL ANESTHESIA Benefit effective July 1, 2007. TRICARE implemented a medical policy covering medically necessary anesthesia and facility charges associated with dental care for beneficiaries with development, mental or physical disabilities, and children ages five and under. This benefit was created for beneficiaries whose age or condition prohibits dental treatment in a safe and effective manner without the use of anesthesia. To ensure medical necessity approval, please request a referral/authorization if you are aware your TRICARE patient will require dental anesthesia for a scheduled procedure.
Back to Top |
