Overnight lodging costs for a patient traveling to receive non-emergency medical care

This code represents the cost of temporary overnight accommodation for a patient who must travel away from their home to receive medically necessary non-emergency healthcare services. This lodging is an ancillary service, meaning it supports the primary medical treatment but is not the treatment itself. It covers expenses such as hotel stays for the recipient.

This code is used when a patient requires lodging due to the necessity of traveling a significant distance to access specialized medical care that is unavailable locally. Documentation should clearly indicate the medical necessity of the distant treatment, the unavailability of local alternatives, and the specific dates and costs of the patient's lodging.

• Ensure documentation explicitly states the medical necessity for the patient's travel and lodging, linking it directly to a covered medical service.
• This code is for the recipient's lodging only; do not use it for accompanying caregivers or family members.
• Verify payer-specific policies regarding distance requirements and maximum reimbursement limits for ancillary lodging services.