Frenectomy (tongue-tie surgery)

A frenectomy is a surgery to correct lip ties or tongue ties. It’s also known as a frenotomy. TRICARE may cover this procedure if it’s medically necessaryTo be medically necessary means it is appropriate, reasonable, and adequate for your condition.. For example, TRICARE may cover the surgery if it will improve a child’s:

• Breathing
• Eating 
• Speech development

TRICARE won’t cover the surgery if it’s for cosmetic or dental purposes. 

The child must get the procedure by Dec. 31 the year following their birth. (TRICARE may make an exception when a child’s growth affects the timeline of surgery.) 

You may need a referralWhen your primary care manager or provider sends you to another provider for care that they don’t provide. or pre-authorizationWhen your regional contractor approves your care before you go to your appointment. If you’re being referred, your provider will get you a referral and pre-authorization at the same time.. Check with your regional contractor for referral and pre-authorization requirements.