TMPPM 2008 > Texas Medicaid Services > Ambulance > Benefits and Limitations

   
 

8.3.5 Oxygen

Reimbursement for oxygen is the lesser of the provider's customary profile, the prevailing profile, or the provider's actual charge in accordance with 1 TAC §355.8600. A maximum of two oxygen procedure codes are allowed per round trip. In situations involving multiple transports on the same date of service, the provider may appeal claims that have denied for this two-code limit. Providers must bill the appropriate national code.


Texas Medicaid & Healthcare Partnership
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