Ambulance Zip Code Definition Lookup
Enter the five-digit zip code being billed to determine if it is urban, rural or super rural:
To learn more about these definitions, refer to the CMS Medicare Claims Processing Manual, Publication 100-04, Chapter 15 .
- Ambulance Basics
- 04/28/20
- Ambulance Documentation
- Ambulance A/B Orders Return Trips and Non-Emergent Transports
Ambulance
Medicare ambulance services are typically a Part B covered benefit; however, in some situations, it may be covered by Part A. An ambulance transport benefit is a transport provided by an ambulance to beneficiary by land, water or air.
Access the below ambulance related information from this page.
Billing - Access details on claim form completion, fees, mileage requirements, appropriate modifiers, beneficiary death, transports and refusal, and services provided outside the United States
Coverage - Access coverage information on transport levels of service, aborted flights, bed-confinement, destinations, and documentation requirements
Destinations: Covered/Noncovered - View transport destination coverage requirements
Enrollment - Learn how to enroll and supporting documentation needed.
Providers vs Suppliers - View identifying differences
Vehicles - View vehicle equipment requirements and access staffing requirements for such vehicles
Resources
- CMS Ambulance Fee Schedule
- CMS IOM, Publication 100-04, Ch. 6 - Ambulance - Section 20.3.1
- CMS Medicare Learning Network (MLN) Matters (MM)7058 - Ambulance Service Definitions
- CMS MM7161 - Air Ambulance Services
- Sections 1861(e)(1) or 1861(j)(1) of the Social Security Act
Last Updated Feb 12, 2020
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