Ambulance Broke Down During Transport

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Pune, Maharashtra
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Hi Guys,
We are working in Ambulatory Transportation coding. I have came across a report in which the ambulance which was taking patient to hospital from scene broke down during transport to hospital when patient was on board, from where another ambulance picked up the patient and took him to hospital.
Which origin and destination modifiers should be assigned to ambulance report in which ambulance got broke down?
 
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