Scheduled non-emergency transport of a wheelchair-bound patient using a specialized wheelchair-accessible van

This code represents the provision of non-emergency medical transportation for a patient requiring a wheelchair van. This service is utilized when a patient's medical condition necessitates transport in a wheelchair, and standard vehicle transport is not medically appropriate or safe. It covers the specialized vehicle and personnel required to safely transfer and transport the patient.

Use this code for scheduled, non-urgent transportation to and from medical appointments, diagnostic tests, or other healthcare facilities when the patient is confined to a wheelchair. Documentation must clearly indicate the medical necessity for a wheelchair van, such as the patient's inability to ambulate, transfer independently, or be safely transported in a standard vehicle due to their medical condition.

• Ensure documentation explicitly states the medical necessity for a wheelchair van over other forms of non-emergency transport (e.g., stretcher van, ambulette, or private vehicle).
• Do not use this code for emergency ambulance services or when the patient is transported via stretcher.
• Verify payer-specific guidelines for prior authorization requirements and covered diagnoses for non-emergency medical transportation.