Google Ads Call-Only Campaigns: The 'Urgency' Playbook (2024)

If your house is flooding, you don't want to read an "About Us" page. You want a human on the phone, now.
For high-urgency industries (HVAC, Legal, Towing, Healthcare), the website is effectively a barrier. Call-Only Campaigns (now called "Call Ads") skip the landing page entirely.
- User searches "Emergency Plumber."
- Ad appears with a giant "Call" button.
- User taps. Phone dials. Lead captured.
Part 1: Call Ads vs. Call Extensions
Call Extensions:
- A standard text ad with a small phone number link below it.
- Action: Clicking the headline goes to the website. Clicking the number dials.
- Use Case: General Business.
Call Ads:
- The entire ad IS the phone number.
- Action: Clicking anywhere on the headline triggers the dialer.
- Use Case: Emergency Services.
Part 2: The "Verified" Barrier
Google hates spam. To run Call Ads, you must prove you own the number.
- HTML Verification: The phone number must be visible in text on your landing page.
- Domain Verification: You must link your GSC account.
- Unverified Numbers: Will be disapproved instantly.
Part 3: Bidding Strategy (CPA vs. ROAS)
The Challenge: A "Call" (2 seconds) is not a "Lead". Someone might tap "Call", realize it's the wrong number, and hang up. Google still charges you $50.
The Fix: You must set a "Call Duration" threshold for conversions.
- Settings: Conversions → Phone Calls.
- Threshold: Set to 60 Seconds.
- Logic: If they talk for less than 60 seconds, it doesn't count as a conversion. This prevents Smart Bidding from optimizing for hang-ups.
Part 4: The "Negative Audience" Trick
Who clicks "Call" buttons accidentally?
- People looking for "Customer Service" or "Refunds".
- Scenario: A current customer searches your brand name to find your support number. They click your ad. You pay $50. They complain about a bill.
The Fix:
- Create a "Current Customers" list (Customer Match).
- Exclude this list from your Call Only campaign.
- Add "Support", "Service", "Login", "Returns" as Negative Keywords.
Summary
Call Ads are the highest-friction, highest-reward ad type. You are asking for a marriage proposal on the first date (a phone call).
- Targeting: Must be "Emergency" intent.
- Hours: Only run when you answer the phone.
- Tracking: Only count calls > 60 seconds.
If you optimize for "Click on Phone Number", you will go broke. Calculate the cost per Conversation.

About the Author
Performance marketing specialist with 6 years of experience in Google Ads, Meta Ads, and paid media strategy. Helps B2B and Ecommerce brands scale profitably through data-driven advertising.
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