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There is not a minimum number of miles that you must drive in order to claim the miles as part of your medical expenses. If you are driving for a medical appointment, even if the trip is only a few miles, then the mileage can be claimed. You should be able to provide documentation (if asked) to justify the miles that you claimed, such as a log showing the date, miles driven, and purpose of the trip.
You also asked about whether there is a certain number of miles that must be driven to qualify to claim overnight lodging expenses. The IRS does not define a distance. There is a statement in Publication 502 regarding the lodging expense stating that it is for medical treatment “in another city” and the trip is for receiving medical services.
To read more for yourself, click the following link to open IRS Publication 502 Medical and Dental Expenses: https://www.irs.gov/pub/irs-pdf/p502.pdf
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