Scheduled, non-emergency bus transportation for a patient traveling to or from a medical appointment

This code represents the provision of non-emergency ground transportation via bus, either within a state or across state lines, for beneficiaries requiring travel to or from medically necessary services. It covers the cost of a standard bus fare when other forms of transportation are not medically indicated or available.

Use this code when a beneficiary requires transportation by bus to access covered medical appointments, treatments, or services, and the transportation is not an emergency. Documentation should clearly state the medical necessity for the transportation, the destination, and the reason why other, less costly or more convenient options are not appropriate.

• This code is for bus fare only; do not use for other modes of non-emergency transportation (e.g., taxi, ambulance).
• Ensure documentation specifies the origin and destination, as well as the medical reason for the trip.
• Verify payer-specific policies regarding coverage for non-emergency transportation, as rules can vary significantly.