Abortion billing tips

November 30, 2022

To receive correct reimbursement, please ensure all required information is included, per TRICARE Policy Manual Chapter 4 Section 18.3.

Claims must be submitted with the following:

  • G7 modifier, which is defined as the pregnancy resulted from rape or incest, or pregnancy certified by physician as life threatening
  • One of the condition codes listed below:
    • AA - Abortion performed due to rape;
    • AB - Abortion performed due to incest;
    • AD - Abortion performed due to life endangering physical condition

For more information, visit TRICARE.mil