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8.3.6 Waiting Time
Procedure code 9-A0420 may be billed when it is the general billing practice of local ambulance companies to charge for unusual waiting time (longer than 30 minutes). Providers must use the following procedures:
• Separate charges must be billed for all clients, Medicaid and non-Medicaid, for unusual waiting time.
•The circumstances requiring waiting time and the exact time involved must be documented in Block 24 of the CMS-1500 claim form.
•The amount charged for waiting time must not exceed the charge for a one-way transfer.
Important: Waiting time is reimbursed up to one hour.
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