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
Download Materials
Frequently Asked Questions
- 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).
- 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.
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.