If a paramedic (not an EMT) is requested for a transport (emergent or non-emergent), but no advanced life support (ALS) procedures are performed is it considered an ALS transport?

No. Level of transport is based on the level of care provided (i.e., procedure), not merely the personnel involved in administering the care.

Advanced Life Support Intervention:

  • Definition: An ALS intervention is a procedure that is in accordance with state and local laws. It is required to be done by an EMT-Intermediate or an EMT-Paramedic.
  • Application: An ALS intervention must be medically necessary to qualify as an intervention for payment for an ALS level of service. An ALS intervention applies only to ground transports.
Resource:  Medicare Benefit Policy Manual, IOM Pub. 100-02, Chapter 10, Section 30.1.1 (PDF, 208 KB), for "Ground Ambulance Services."

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