Non-emergency medical transportation by a private individual using their personal vehicle, billed per mile

This code describes the reimbursement for non-emergency medical transportation provided by a private individual (e.g., family member, friend) using their own vehicle, calculated on a per-mile basis. This service facilitates patient access to medically necessary healthcare appointments when other forms of transportation are unavailable or inappropriate due to the patient's clinical condition or lack of resources. It covers the operational costs associated with the use of a personal vehicle for this specific purpose.

Apply this code when a patient requires non-emergency transportation to or from a covered medical service, and a private individual utilizes their personal vehicle for this purpose. Documentation must clearly indicate the medical necessity for the transportation, the origin and destination of the trip, the date of service, and the total mileage. This code is typically used when the patient cannot drive themselves and no other suitable transportation option is available or covered.

• Ensure documentation specifies the exact mileage for each trip; do not round up or down.
• Distinguish this from transportation provided by commercial carriers or ambulance services; those have distinct codes.
• Verify payer-specific policies regarding reimbursement for individual-provided transportation, as coverage can vary significantly.