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TRICARE Policy Manual 6010.63-M, April 2021
Extended Care Health Option (ECHO)
Chapter 9
Section 11.1
Transportation
Issue Date:  January 23, 1984
Authority:  32 CFR 199.5(c)(6) and (g)(1)
Copyright:  CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.
Revision:  
1.0  CPT CODE
99082: Unusual travel
2.0  HCPCS CODES
Level II Codes A0100 - A0140, A0170
3.0  POLICY
3.1  Transportation of an institutionalized Extended Care Health Option (ECHO) beneficiary to or from a facility or institution to receive otherwise allowable services or items through the ECHO may be cost-shared.
3.2  Transportation of an accompanying medical attendant to ensure the safe transport of the ECHO beneficiary may be cost-shared.
3.3  A public facility use certification is not required for the transportation unless the care is being provided by the public facility.
3.4  The reimbursement rate for the use of a privately-owned vehicle, regardless of the number of ECHO family members being transported, is limited to the Federal Government employee mileage reimbursement rate in effect on the trip date.
3.5  Transportation by means other than a privately-owned vehicle will be reimbursed on the basis of actual costs.
4.0  EFFECTIVE DATE
September 1, 2005.
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