Thursday, October 14, 2010

Billing CPT A0433 - Advanced Life Support

HCPCS A0433 – Advanced Life Support, Level 2

Advanced Life Support, Level 2 (ALS 2) – ALS2 is the transportation by ground ambulance vehicle and the provision of medically necessary supplies and services including (1) at least three separate administrations of one or more medications by intravenous push/bolus or by continuous infusion (excluding crystalloid fluids) or (2) ground ambulance transportation and the provision of at least one of the ALS2 procedures listed below:

• Manual defibrillation/cardioversion
• Endotracheal intubation
• Central venous line
• Cardiac pacing
• Chest decompression
• Surgical airway; or
• Intraosseous line

Note: The monitoring and maintenance of an endotracheal tube that was previously inserted prior to the transport also qualifies as an ALS 2 procedure.

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