Medicare Benefit Policy Manual (Pub. 100-02), Ch. 10 § 10.3.8
Ambulance Service to Physician’s Office
10.3.8 - Ambulance Service to Physician’s Office
(Rev. 1, 10-01-03)
A3-3114.C.7, HO-236.3.G, B3-2130.3.G
These trips are covered only under the following circumstances:
•
The ambulance transport is enroute to a Medicare covered destination as
described in §10.3 ; and
•
During the transport, the ambulance stops at a physician's office because of the
patient's dire need for professional attention, and immediately thereafter, the
ambulance continues to the covered destination.
In such cases, the patient will be deemed to have been transported directly to a covered
destination and payment may be made for a single transport and the entire mileage of the
transport, including any additional mileage traveled because of the stop at the physician’s
office.