Ambulance Fee Schedule Public Use Files

The Ambulance Fee Schedule public use files for calendar years 2004 through 2013 are located in the Downloads section below.

Sections 604(a), (b), and (c) of the American Taxpayer Relief Act of 2012 extended payment provisions of previous legislation including 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 604(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 December 31, 2013.  

Section 604(b) extends the provision relating to air ambulance services that continued to treat as rural any area that was designated as rural on December 31, 2006, for purposes of payment under the ambulance fee schedule.  This provision will expire June 30, 2013.  While the expiration of this provision will 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.

Section 604(c) extends the provision relating to payment for ground ambulance services that increased the base rate for transports originating in an area that within the lowest 25th percentile of all rural areas arrayed by population density (known as the “super rural” bonus).  This provision will expire on December 31, 2013.

The 2013 Ambulance Fee Schedule Public Use File found below reflects the mandated extensions and is effective for claims with dates of service beginning January 1, 2013 and through December 31, 2013.

Note:  The CY 2013 ambulance PUF file has been updated to correct the previously posted rates for several jurisdictions and to remove the super-rural bonus rate for HCPCS code A0432 (Paramedic Intercept).  Please refer to the most recent version of this file to view the correct rate for your jurisdiction.