This section covers a wide variety of medical and surgical supplies, as well as some DME-related supplies and accessories. Medicare generally covers DME-related supplies, accessories, maintenance, and repair under the prosthetic devices provision.
Ambulance service, outside state per mile, transport (medicaid only)
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest
Non-emergency transportation; taxi
Non-emergency transportation and bus, intra or inter state carrier
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems
Non-emergency transportation: wheelchair van
Non-emergency transportation and air travel (private or commercial) intra or inter state
Non-emergency transportation: per mile - case worker or social worker
Transportation ancillary: parking fees, tolls, other
Continued
Non-emergency transportation: ancillary: lodging-recipient
Non-emergency transportation: ancillary: meals-recipient
Non-emergency transportation: ancillary: lodging escort
Non-emergency transportation: ancillary: meals-escort
Ambulance service, neonatal transport, base rate, emergency transport, one way
Bls mileage (per mile)
Bls routine disposable supplies
Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances)
Als mileage (per mile)
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances)
Als specialized service disposable supplies; iv drug therapy
Als specialized service disposable supplies; esophageal intubation
Als routine disposable supplies
Ambulance waiting time (als or bls), one half (1/2) hour increments
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review)
Ground mileage, per statute mile
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)
Ambulance service, basic life support, non-emergency transport, (bls)
Continued
Ambulance service, basic life support, emergency transport (bls-emergency)
Ambulance service, conventional air services, transport, one way (fixed wing)
Ambulance service, conventional air services, transport, one way (rotary wing)
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers
Advanced life support, level 2 (als 2)
Specialty care transport (sct)
Fixed wing air mileage, per statute mile
Rotary wing air mileage, per statute mile
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)
Ambulance response and treatment, no transport
Unlisted ambulance service
Innovamatrix ac, per square centimeter
Mirragen advanced wound matrix, per square centimeter
Xcellistem, 1 mg
Microlyte matrix, per square centimeter
Novosorb synpath dermal matrix, per square centimeter
Restrata, per square centimeter
Theragenesis, per square centimeter
Symphony, per square centimeter
Apis, per square centimeter