Fee Navigator®

    Health Service Code 13.99KB

    Ambulance detention time, full 15 minutes or major portion thereof, any day, 2200 - 0700 hours

    NOTE:
    1. Supporting information must be submitted for HSCs 13.99K, 13.99KA and 13.99KB.
    2. May be claimed by a physician during the time he/she is medically required to personally and continuously attend a patient being transported by surface or air ambulance.
    3. Only time in attendance with the patient may be claimed.
    4. Concurrent billing for overlapping time for separate patient encounters/services may not be claimed.
    5. A maximum of 20 calls applies.
    Category:V Visit
    Base rate:$142.58

    AMA billing tips:

    • 03.01AA does NOT apply to ambulance detention time. 03.01AA may only be claimed when the service is provided in an AHS facility, the ambulance or other ambulance transportation vehicles are not considered to be an extension or a part of the AHS facility.

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    CALLM151 - 20For Each Call Pay Base At100%
    CALLM15To a Maximum Of$2851.60

    Governing Rules:

    No Governing Rules.