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Ambulance Fee Schedule Public Use Files

The Ambulance Fee Schedule public use files for calendar years 2004 through December 31, 2014 are located in the Downloads section below.

Sections 104(a) and (b) of the Protecting Access to Medicare Act of 2014 extended payment provisions of previous legislation including the Pathway for SGR Reform Act of 2014, the American Taxpayer Relief Act of 2012, the Middle Class Tax Relief and Job Creation Act of 2012, the Temporary Payroll Tax Cut Continuation Act of 2011, the Medicare and Medicaid Extenders Act of 2010, the Patient Protections and Affordable Care Act of 2010 (ACA), and the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA).

Section 104(a) extends the provision increasing Ambulance Fee Schedule amounts by 2% for services originating in urban areas (as defined by the ZIP Code of the point of pickup) and by 3% for services originating in rural areas (again, as defined by the ZIP Code of the point of pickup). This provision will expire on March 31, 2015.

Section 104(b) extends the provision relating to payment for ground ambulance services that increased the base rate for transports originating in an area that is within the lowest 25th percentile of all rural areas arrayed by population density (known as the “super rural” bonus). This provision will expire on March 31, 2015.

The 2014 Ambulance Fee Schedule Public Use File found below reflects the mandated extensions and is effective for claims with dates of service beginning January 1, 2014 and through December 31, 2014.

Note: The add-on provision related to designation of rural areas for air ambulance services expired on June 30, 2013.  While this did not affect the fee schedule, suppliers are advised to refer to the ambulance ZIP Code files for more information on which zip codes are considered rural for air ambulance services.

Note:  The reduction for non-emergency BLS transports to and from dialysis treatment facilities that became effective on October 1, 2013 is not reflected in the Ambulance Fee Schedule Public Use File.  The 10% reduction is taken at the time of claim payment.  For more information, see Transmittal 2703, issued May 10, 2013.