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US · guidance

CMS Pub. 100-02, ch. 10, § 10.4.6

Special Payment Limitations

activein force · 2026-08-25 – presentas-observed

If a determination is made to order transport by air ambulance, but ground ambulance

transport would have sufficed, payment for the air ambulance transport is based on the

amount payable for ground ambulance transport.

If the air transport was medically appropriate (that is, ground transportation was

contraindicated, and the beneficiary required air transport to a hospital), but the

beneficiary could have been treated at a hospital nearer than the one to which they were

transported, the air transport payment is limited to the rate for the distance from the point

of pickup to that nearer hospital.

History

(Rev. 133, Issued: 10-22-10, Effective: 01-01-11, Implementation: 01-03-11)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
d184fcbb9f1a205c4d640bda1aa949ff212fcb686c365715169b350d2a9399f2
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