[usnavy_cop_retired]

It’s an out patient lab test. I live in the Philippines and providers here bill on a global billing basis. Most lab test are billed as the normal name of the test since the local providers do not bill by CPT codes, (in fact they don’t know what a CPT code is, thus Tricare is forcing retirees to determine the codes and pricing for our claims or else we don’t get paid).

An example is that a urine culture test is billed in the states using three separate CPT codes for the three separate test done. Unless we identify the three normal co-procedures performed and normally billed for that test, we only get reimbursed for one CPT code, which is about 25% of the actual cost.

[Chode]

is there a VA Office/Clinic on the island that might be able to help with the codes?

[Tainan]

US Vets Affair Office in the Philipines

U.S. Point of Contact for Veterans Living in the Philippines:

It seems like I posted these same links to a similar question a few years ago. I hope they can be of help for you.

[ElenaM]

Holy cow! We have an entire section of a mainframe to do that sort of thing.

Hmmmm.....do you need the Tricare allowed amount, Tricare covered amount or the provider billed amount for pricing? They are very different dollar amounts.

I can get CPT4s if you shoot me all the test titles. I don’t code CPT4 myself but I know people who do.