What does CPT code A0425 mean?

Ground mileage, quantity
The CPT codes available for ambulance coding and billing include: A0425 – Ground mileage, quantity is per mile, and the reimbursement for mileage is generally based on the insurance company’s perception of who is closest appropriate provider.

How do I bill A0425?

When billing HCPCS codes A0425, the number of loaded mileage is required in the service unit field on the claim. without use of a decimal (e.g., 998.5 miles should be reported as 999).

What is Ambulance code A0427?

Procedure Code Description A0427 Ambulance service, advanced life support, emergency transport, Level 1 (ALS1) Must provide medically necessary supplies and services, including the provision of an ALS assessment or at least one ALS intervention.

What is CPT code for Ambulance?

A0428
Description Of CPT A0428: Ambulance service, basic life support, non-emergency transport (BLS).

What is Ambulance billing?

Ambulance billing is something of a specialty area, and it calls for a unique collection of requirements. Ambulance billing is set apart from other types of medical billing because it involves mileage requirements, as well as origin and destination modifiers, none of which come into play in ordinary medical billing.

What is hh modifier?

(Example: If a patient is transported from one hospital to another, the two-letter modifier submitted should be “HH” indicating a hospital-to-hospital transport).

What is ambulance billing?

How do you bill an ambulance with Miles?

When billing HCPCS codes A0425, the number of loaded mileage is required in the service unit field on the claim. For trips totaling less than 1 mile, enter a “0” before the decimal (e.g., 0.9). For trips totaling up to 100 loaded miles, report mileage rounded up to the nearest tenth of a mile.

What are Ambulance modifiers?

Modifiers identifying the place of origin and destination of the ambulance trip must be submitted on all ambulance claims. The modifier is to be placed next to the Health Care Procedure Coding System code billed. Origin and destination modifiers used for ambulance services are created by combining two alpha characters.

What is CPT code A0394?

HCPCS Code A0394 A0394 is a valid 2021 HCPCS code for Als specialized service disposable supplies; iv drug therapy or just “Als iv drug therapy supplies” for short, used in Ambulance.

What is Code 2 ambulance?

“CODE 2” Operation s(CODE 2): is a term used to describe an immediate response of an ambulance without lamps and siren as permitted by Section 21055 of the California Vehicle Code.

What is the CPT code for non emergent ambulance transport?

Non-emergency BLS ground transports are identified by Healthcare Common Procedure Coding System (HCPCS) code A0428 (Ambulance service, basic life support, non-emergency transport, (bls)).

What is the CPT code for ambulance?

Ambulance Services (Ground Ambulance) CPT code – A0425,A0426,A0433,A0888. Emergency Ambulance Services. Medicare will cover emergency ambulance services when the services are medically necessary, meet the destination limits of closest appropriate facilities and are provided by an ambulance service that is licensed by the state.

What is ambulance coding?

Ambulance coding is vastly different from the medical specialties that utilize evaluation and management codes to identify a provider’s services. The Coding Network’s Ambulance Coding Division provides state-of the art coding for ambulance and EMS services through its pool of Certified Ambulance Coder® (CAC) specialists.

What is an ambulance modifier?

Ambulance Modifiers. Modifiers identifying the place of origin and destination of the ambulance trip must be submitted on all ambulance claims. The modifier is to be placed next to the Health Care Procedure Coding System code billed. Origin and destination modifiers used for ambulance services are created by combining two alpha characters.