Medicare Claims Processing Manual (Pub. 100-04), Ch. 15 § 30.1.1
MCS Coding Requirements for Suppliers
30.1.1 - MCS Coding Requirements for Suppliers
(Rev. 1696; Issued: 03-06-09; Effective/Implementation Date: 04-06-09)
PM AB-00-88
The ambulance fee schedule contains the following HCPCS coding logic:
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Seven categories of ground ambulance services;
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Two categories of air ambulance services;
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Payment based on the condition of the beneficiary, not on the type of vehicle used;
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Payment is determined by the point of pickup (as reported by the 5-digit ZIP Code);
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Increased payment for rural services; and
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Services and supplies included in base rate.