Non-emergency mileage charge for patient transport provided by a case worker or social worker

This code represents the mileage incurred when a case worker or social worker provides non-emergency transportation to a patient. This service is typically rendered to facilitate access to necessary medical appointments, social services, or other health-related activities when the patient lacks alternative means of transportation. It addresses a social determinant of health by ensuring patients can attend care.

Utilize this code when a qualified case worker or social worker directly transports a patient for non-emergent healthcare-related purposes. Documentation must clearly indicate the date of service, the specific mileage traveled, the purpose of the transport, and the identity of the transporting professional. This code is appropriate for services like transporting a patient to a therapy session, a specialist appointment, or a social service agency.

• Ensure documentation specifies the exact mileage for each trip, as this code is billed per mile.
• Distinguish this from patient transport by ambulance or other medical transport services; this code is specifically for non-medical personnel providing non-emergency transport.
• Verify payer-specific guidelines for coverage of social worker/case worker transportation services, as policies can vary.