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US · guidance

CMS Pub. 100-04, ch. 15, § 30.1.1

MCS Coding Requirements for Suppliers

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

PM AB-00-88

The ambulance fee schedule contains the following HCPCS coding logic:

• Seven categories of ground ambulance services;

• Two categories of air ambulance services;

• Payment based on the condition of the beneficiary, not on the type of vehicle used;

• Payment is determined by the point of pickup (as reported by the 5-digit ZIP Code);

• Increased payment for rural services; and

• Services and supplies included in base rate.

History

(Rev. 1696; Issued: 03-06-09; Effective/Implementation Date: 04-06-09)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
f27862d76f9301762764fc62b02f1067192c09d254668ae39b8a4d03630a52c0
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