Description
The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) Pay mobile application (app) is an interactive tool to assist Veteran beneficiaries and/or medical providers in looking up the participation status of CHAMPVA medical codes. The app accepts Current Procedural Technology (CPT), International Classification of Diseases, Tenth Revision (IDC-10), National Drug Code (NDC), and Durable Medical Equipment (HCPCS-DME) codes and returns the reimbursement status.
Features:
- Identify the participation status of CHAMPVA medical codes for use by a Veteran's beneficiaries and/or medical providers
- See coverage status: covered, covered with conditions, not covered or if you need to call for more information
- Link to the CHAMPVA website and CHAMPVA Guide
Frequently Asked Questions
The Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA) Pay mobile application (app) is an interactive tool to help Veterans, Veteran beneficiaries and/or medical providers look up a medical code to see if it is covered by CHAMPVA.
The app accepts Current Procedural Technology (CPT), International Classification of Diseases, Tenth Revision (IDC-10), National Drug Code (NDC), and Durable Medical Equipment (HCPCS-DME) codes and returns the reimbursement status.
Anyone can access the CHAMPVA Pay App and check on reimbursement statuses, including a Veteran’s beneficiaries and/or medical providers.
From the home screen, tap Check Codes. You will go to the Check Codes screen where there are four different categories of medical codes. Type in the code you’re checking on in the corresponding blank field.
- CPT Code – Current procedural terminology codes are used for billing outpatient and office procedures. The code must be 3-7 alphanumeric characters (e.g., 98941).
- ICD-10 Code – International classification of diseases. Tenth revision codes are used to classify and code all diagnoses, symptoms and procedures. The code must be 1-8 alphanumeric characters (e.g., S72044G).
- HCPCS/DME Code – Durable medical equipment codes are used to identify medical equipment used for treatment. The code must be 3-7 alphanumeric characters (e.g., A4265).
- NDC Code – National drug codes are used for identification of human drugs. The code must be 10-13 Numerals & Dash only (e.g.,12345-6789-12).
There are four options for the participation status:
- Yes – This is covered by CHAMPVA.
- Yes with conditions. To learn more, call the service center at 1-800-733-8387 – This is part of CHAMPVA, but there are restrictions. You are advised to contact the CHAMPVA service center for more details.
- No – This is not covered by CHAMPVA.
- Unknown Code. To learn more, call the service center at 1-800-733-8387.
Tap Launchpad from the menu tab in the top right corner of any screen. A pop-up box will appear asking if you would like to leave your current window to go to the VA Launchpad.
To access the app’s built in resources, tap Help from the menu tab in the top right corner of any screen. Additionally, a User Manual and Slideshow can be found at mobile.va.gov/appstore, and search for the app to access the resources.
Help Desk Information: If you need help with the CHAMPVA Pay App, dial 1-877-470-5947 to speak with a VA representative. For TTY assistance, dial 711. You should never use this app in an emergency. If you encounter an emergency, call your local medical center or dial 911 immediately.
Help Desk Information: If you need help with the CHAMPVA Pay App, dial 1-877-470-5947 to speak with a VA representative. For TTY assistance, dial 711. You should never use this app in an emergency. If you encounter an emergency, call your local medical center or dial 911 immediately.
VA Mobile Health is an initiative that aims to improve Veterans’ health by providing technologies to expand care beyond the traditional office visit. As part of VA Mobile Health, VA is releasing a series of secure apps that take advantage of the popularity of wireless technologies to support Veterans, Caregivers and VA care teams.
Additional information about other available VA Apps can be found on mobile.va.gov/appstore as well as mobile.va.gov in the VA Mobile Apps General FAQs.
