P9603 One-way allow prorated miles
Also known as: Transport reimbursement miles, Mileage allowance
One-way transportation allowance calculated and prorated based on miles traveled for patient transport.
In Plain Language
Payment for miles traveled
Clinical Context
Medicare reimbursement for patient transportation to medical services, calculated per mile traveled.
RVU Information
CPT P9603 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
P-codes cover pathology screening and blood product services. Documentation must include the ordering provider, clinical indication, and specimen type. For blood products, include the product type, volume, and transfusion details.
Specialties
Frequently Asked Questions
What is CPT code P9603?
CPT P9603 (One-way allow prorated miles) is a P Codes code. One-way transportation allowance calculated and prorated based on miles traveled for patient transport.
Does Medicare cover P9603?
Medicare coverage for P9603 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Medicare reimbursement for patient transportation to medical services, calculated per mile traveled. A physician order is typically required.
When is CPT P9603 used?
Medicare reimbursement for patient transportation to medical services, calculated per mile traveled.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.