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Military Health System

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Outpatient Prospective Payment System

TRICARE's Outpatient Prospective Payment System was implemented on May 1, 2009.

Note: To minimize download times, some of these documents are being supplied in zip format as well as unzipped. You must have file compression software on your computer in order to take advantage of the zipped format.

Quarterly Updates

Payment Status by HCPCS Code

Ambulatory Payment Classifications (APCs) with Status Indicators (SIs) and Payment Rates

Payment Status Indicators

Payment Status by HCPCS Code - Drugs

Maternity Diagnosis

Annual Updates

OPPS Pricing Elements

Statewide Cost to Charge Ratios

Provider Information Updates

Zip to Wage Index Crosswalk

OPPS Provider File

Last Updated: July 02, 2024
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