Institutional Claim Record Layout for the Ambulance Fee Schedule

50.8 - Institutional Claim Record Layout for the Ambulance Fee Schedule (Rev. 2643, Issued: 01-31-13, Effective: 07-01-13, Implementation: 07-01-13) This is a physician fee schedule abstract file for ambulance services payment. The CMS will provide the specific file names when the prices are released. The file name will contain the label AMBFS. Record Length - 80 Record Format - FB Block Size - 27920 Character Code - EBCDIC Sort Sequence - HCPCS, A/B MAC (B), Locality Field Name Format Position Description 1-HCPCS X(05) 1 - 5 HCFA Common Procedure Coding System 2- A/B MAC (B) Number X(05) 6 - 10 3-Locality Code X(02) 11-12 4-Base RVU 9(4)v99 13 - 18 Relative Value Unit 5-Non-Facility PE GPCI 9v9(3) 19 - 22 Geographic Adjustment Factor 6-Conversion Factor 9(5)v99 23 - 29 Conversion Factor 7-Urban Mileage 9(5)v99 30 - 36 Urban payment rate or base rate mileage rate (determined by HCPCS) 8-Rural Mileage 9(5)v99 37 - 43 Rural payment rate or base rate mileage rate (determined by HCPCS) 9-Current Year 9(04) 44- 47 YYYY 10-Current Quarter 9(01) 48 Calendar Quarter-value 1-4 11-Effective Date 9(8) 49- 56 Effective date of fee schedule file 12-Filler X(24) 57 - 80 Future Use