Tuesday, October 12, 2010

Ambulance billing covered CPT a0428 - ground ambulance

COVERED SERVICES – GROUND

There are seven categories of ground ambulance services. The term “ground” refers to both land and water transportation. Medical necessity must be met for Medicare payment.

HCPCS A0428 – Ambulance service, BLS, non-emergency transport, all inclusive

Basic Life Support (BLS) – Non-emergency – Basic life support (BLS) is transportation by ground ambulance vehicle and the provision of medically necessary supplies and services, including BLS ambulance services as defined by the state. The ambulance must be staffed by an individual who is qualified in accordance with State and local laws as an emergency medical technician-basic (EMT-Basic). These laws may vary from State to State or within a State. For example, only in some jurisdictions is an EMT-Basic permitted to operate limited equipment onboard the vehicle, assist more qualified personnel in performing assessments and interventions, and establish a peripheral intravenous (IV) line.

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