Per-mile reimbursement for non-emergency patient transportation provided by a volunteer using their own vehicle

This code represents the reimbursement for non-emergency medical transportation provided by a volunteer using their own vehicle, calculated on a per-mile basis. This service facilitates patient access to necessary medical appointments, diagnostic tests, or treatment facilities when other transportation options are unavailable or unsuitable due to the patient's clinical condition or socioeconomic factors. It addresses a critical social determinant of health by ensuring patients can attend scheduled healthcare encounters.

Use this code when a patient requires transportation to or from a covered healthcare service, and a volunteer provides the vehicle and driving. Documentation must clearly indicate the medical necessity for the transportation, the volunteer's role, and the mileage incurred. This typically applies to patients with mobility limitations, lack of personal transportation, or those residing in rural areas with limited public transit options.

• Ensure documentation specifies the exact mileage for each trip.
• Do not confuse with codes for commercial ambulance services or non-emergency medical transportation provided by paid drivers or commercial entities.
• Verify payer-specific policies regarding volunteer transportation coverage, mileage limits, and required documentation for medical necessity.