HCPSC codes Transportation Services Including Ambulance

A0021

Ambulance service, outside state per mile, transport (Medicaid only)

A0080

Non-emergency transportation, per mile – vehicle provided by volunteer (individual or organization), with no vested interest

A0090

Non-emergency transportation, per mile – vehicle provided by individual (family member, self, neighbor) with vested interest

A0100

Non-emergency transportation; taxi

A0110

Non-emergency transportation and bus, intra or inter state carrier

A0120

Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems

A0130

Non-emergency transportation: wheel-chair van

A0140

Non-emergency transportation and air travel (private or commercial) intra or inter state

A0160

Non-emergency transportation: per mile – case worker or social worker

A0170

Transportation ancillary: parking fees, tolls, other

A0180

Non-emergency transportation: ancillary: lodging-recipient

A0190

Non-emergency transportation: ancillary: meals-recipient

A0200

Non-emergency transportation: ancillary: lodging escort

A0210

Non-emergency transportation: ancillary: meals-escort

A0225

Ambulance service, neonatal transport, base rate, emergency transport, one way

A0380

BLS mileage (per mile)

A0382

BLS routine disposable supplies

A0384

BLS specialized service disposable supplies; defibrillation (used by ALS ambulances and BLS ambulances in jurisdictions where defibrillation is permitted in BLS ambulances)

A0390

ALS mileage (per mile)

A0392

ALS specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in BLS ambulances)

A0394

ALS specialized service disposable supplies; IV drug therapy

A0396

ALS specialized service disposable supplies; esophageal intubation

A0398

ALS routine disposable supplies

A0420

Ambulance waiting time (ALS or BLS), one half (1/2) hour increments

A0422

Ambulance (ALS or BLS) oxygen and oxygen supplies, life sustaining situation

A0424

Extra ambulance attendant, ground (ALS or BLS) or air (fixed or rotary winged); (requires medical review)

A0425

Ground mileage, per statute mile

A0426

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

A0427

Ambulance service, advanced life support, emergency transport, level 1 (ALS1-emergency)

A0428

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

A0429

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

A0430

Ambulance service, conventional air services, transport, one way (fixed wing)

A0431

Ambulance service, conventional air services, transport, one way (rotary wing)

A0432

Paramedic intercept (PI), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers

A0433

Advanced life support, level 2 (ALS 2)

A0434

Specialty care transport (SCT)

A0435

Fixed wing air mileage, per statute mile

A0436

Rotary wing air mileage, per statute mile

A0888

Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)

A0998

Ambulance response and treatment, no transport