Wednesday, March 30, 2016

Ambulance service CPT code list

Claims for transportation services provided on or after September 1st, 2010, that meet the definition of non-emergency medical transportation, must be authorized by and submitted to American Medical Response (AMR) for payment.

Claims for transportation services that meet the definition of non-emergency medical transportation provided prior to September 1st, 2010, must be submitted to Molina Medicaid Solutions for payment.

Service HCPCS Description

Advanced life support, level 2 (ALS 2).
A0433

Ambulance service, advanced life support, emergency transport, level 1 (ALS 1 - emergency).
A0427

Ambulance service, advanced life support, non-emergency transport, level 1 (ALS 1).
A0426

Ambulance service, basic life support, emergency transport (BLS - emergency).
A0429

Ambulance service, basic life support, non-emergency transport (BLS).
A0428

Ambulance service, conventional air services, transport, one way (fixed wing).
A0430
Base rate.

Ambulance service, conventional air services, transport, one way (rotary wing).
A0431
Base rate.

Ambulance waiting time (ALS or BLS), 1/2 hour increments.
A0420
1 Unit = 1/2 Hour. Do not count the first 1/2, which is included in the base rate. Must be physician ordered

Extra ambulance attendant, ground (ALS or BLS) or air (fixed or rotary winged).
Requires medical review.
A0424
Attendant must be in the patient compartment of the ambulance and actively treating or attending the patient. 1 Unit = Total charges for 1 extra attendant

Fixed wing air mileage, per statute mile.
A0435

Ground mileage, per statute mile.
A0425

Respond and evaluate no other services (all levels).
A0998
Treat and release (ambulance response and treatment, no transport).

Response and treatment, advanced life support.
A0998

Response and treatment, basic life support.
A0998

Rotary wing air mileage, per statute mile.
A0436

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