Friday, October 22, 2010

Transporation indicator - air and ground ambulance billing C1 & C2

Transportation Indicators
When a claim is submitted for payment, one of the transportation indicators below may be included (however they are not required) on the claim to indicate why it was necessary for the patient to be transported in a particular way or circumstance. The provider or supplier should place the transportation indicator in the “narrative” field (NTE02) on the claim.


Air and Ground

• Transportation Indicator “C1”: Transportation indicator “C1” indicates an inter-facility transport (to a higher level of care) determined necessary by the originating facility based upon EMTALA regulations and guidelines. The patient’s condition should also be reported on the claim with a code selected from either the emergency or non-emergency category on the Medical Condition List, as well as the exact service needed by the patient that was unavailable at the originating facility.

• Transportation Indicator “C2”: Transportation indicator “C2” indicates a patient is being transported from one facility to another because a service or therapy required to treat the patient’s condition is not available at the originating facility. The patient’s condition should also be reported on the claim with a code selected from either the emergency or non-emergency category on the Medical Condition List. In addition, the information about what service the patient requires that was not available at the originating facility should be included in the narrative field of the claim.

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