Medicare Claims Processing Manual (Pub. 100-04), Ch. 15 § 20.2
Payment for Mileage Charges
20.2 - Payment for Mileage Charges
(Rev. 1696; Issued: 03-06-09; Effective/Implementation Date: 04-06-09)
B3-5116.3, PM AB-00-131
Charges for mileage must be based on loaded mileage only, e.g., from the pickup of a patient to
his/her arrival at destination. It is presumed that all unloaded mileage costs are taken into
account when a supplier establishes his basic charge for ambulance services and his rate for
loaded mileage. Suppliers should be notified that separate charges for unloaded mileage will be
denied.
Instructions on billing mileage are found in §30.