Back to Top Skip to main content

Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

TRICARE uses the reimbursement rates established by the Centers for Medicare and Medicaid Services (CMS) for certain items of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies.

  • CMS updates these rates twice a year in January and July.
  • Inclusion or exclusion of a reimbursement rate does not imply TRICARE coverage.

Please visit the CMS DMEPOS Fee Schedule to access DMEPOS reimbursement rates for those items that begin with a HCPCS code of A, E, K, L, or V. (Link will open in a new browser window.)

For all other items of DMEPOS, TRICARE pays a maximum allowable charge. For further information, please contact your regional contractor or see the following TRICARE Reimbursement Manual references:

  • Chapter 1, Section 11
  • Chapter 3, Section 1
  • Chapter 5, Section 1

Breastfeeding Supplies Reimbursement

Download

Cast and Splint Reimbursement

Download

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.