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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 9-A0424). Without documentation of the medical need of the third attendant, the third attendant's services are not reimbursable. The Texas Medicaid Program does not reimburse based on each ambulance provider's internal policy.
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