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Ambulance Fee Schedule

Guidance for AFS including proposed payment rule, geographic area definitions by zip code, and related links.


Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: August 01, 2012

The Medicare Part B Ambulance Fee Schedule (AFS) is a national fee schedule for ambulance services:

This webpage is for ambulance services providers and suppliers. If you're a person with Medicare, learn more about your coverage for ambulance services.

Payment under the AFS

The fee schedule applies to all ambulance services provided by:

  • Volunteer, municipal, private, and independent ambulance suppliers
  • Institutional providers, including hospitals and skilled nursing facilities
  • Critical access hospitals, except when they’re the only ambulance service within 35 miles

Ambulance providers and suppliers must:

National Breakout of Geographic Area Definitions by ZIP Code

View archive & legacy files.

AFS Medical Conditions List & Coding for the Emergency Triage, Treat, and Transport (ET3) Model


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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.