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8.3.7 Extra Attendant or Registered Nurse
Charges for an extra attendant or registered nurse (in addition to the two-person crew) for an ambulance transfer are reimbursed when the claim documents the medical necessity of advanced life-support services (e.g., procedure code A0424). Without documentation of the medical need of the third attendant, the third attendant's services are not reimbursable. Texas Medicaid does not reimburse based on each ambulance provider's internal policy.
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