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).

A green checkmark will appear next to the code when the required syntax is entered. Tap Submit. You will go a Checked Code screen, which will show you the type of code, the code you entered and the participation status.

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.

NOTE: Results of any search using the CHAMPVA Pay App are current at the time of use only and do not constitute an authorization by VA to purchase any drug, medical treatment or piece of durable medical equipment. All reimbursement rates quoted by this app are subject to change.

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.

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 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, 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.