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what is cpt code a0425

by Geovanni Conn I Published 3 years ago Updated 2 years ago

HCPCS Code A0425
A0425 is a valid 2022 HCPCS code for Ground mileage, per statute mile
statute mile
The mile, sometimes the international mile or statute mile to distinguish it from other miles, is a British imperial unit and US customary unit of distance; both are based on the older English unit of length equal to 5,280 English feet, or 1,760 yards.
https://en.wikipedia.org › wiki › Mile
or just “Ground mileage” for short, used in Ambulance.
Jan 1, 2001

What is the mileage rate for a0425?

Transportation Services Including Ambulance, Medical & Surgical Supplies A0425 is a valid 2021 HCPCS code for Ground mileage, per statute mile or just “ Ground mileage ” for short, used in Ambulance . In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

What is the total number of CPT codes?

There are a total of 249 new, 63 deleted and 93 revised CPT codes for 2022. That brings the total number of CPT codes to 10,819 per the AMA. Here is a breakdown:

Is the CPT code the same as the procedure code?

When a service or procedure is described the same by both CPT coding and HCPCS coding, the CPT code is used. When a CPT code includes instructions to add more information, a HCPCS code is used. There are 16 sections in the HCPCS manual. ADVERTISEMENT.

What is the CPT code for non emergency transportation?

T2002 is a valid 2021 HCPCS code for Non-emergency transportation; per diem or just “ N-et; per diem ” for short, used in Other medical items or services . 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)

Does Medicare cover A0425?

Ambulance Services (Ground Ambulance) CPT code – A0425,A0426,A0433,A0888. 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 the CPT code for air Ambulance?

A0430Rural Air Ambulance ServicesCodeDescriptionA0428AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT, (BLS)A0429AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS-EMERGENCY)A0430AMBULANCE SERVICE, CONVENTIONAL AIR SERVICES, TRANSPORT, ONE WAY (FIXED WING)9 more rows

What is CPT code A0428?

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

What is CPT code A0429?

HCPCS code A0429 for Ambulance service, basic life support, emergency transport (BLS-emergency) as maintained by CMS falls under Ambulance and Other Transport Services and Supplies.

Is there a CPT code for transportation?

Transportation Services HCPCS Code range T2001-T2007.

What modifier is used for ambulance services?

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....Additional Modifiers.ModifierDescriptionQNAmbulance service furnished directly by a provider of services1 more row•Apr 23, 2020

What is CPT code A0998?

A0998 is a valid 2022 HCPCS code for Ambulance response and treatment, no transport or just “Ambulance response/treatment” for short, used in Ambulance.

What is CPT code A0433?

A0433 is a valid 2022 HCPCS code for Advanced life support, level 2 (als 2) or just “Als 2” for short, used in Ambulance.

What is HCPCS A0434?

HCPCS code A0434 for Specialty care transport (SCT) as maintained by CMS falls under Ambulance and Other Transport Services and Supplies.

What is the ICD 10 code for transportation?

Other transport vehicle as the place of occurrence of the external cause. Y92. 818 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Y92.

What is CPT code A0427?

HCPCS code A0427 for Ambulance service, advanced life support, emergency transport, level 1 (ALS 1-emergency) as maintained by CMS falls under Ambulance and Other Transport Services and Supplies.

What is CPT code A0426?

HCPCS code A0426 for Ambulance service, advanced life support, non-emergency transport, level 1 (ALS 1) as maintained by CMS falls under Ambulance and Other Transport Services and Supplies.

General Information

CPT codes, descriptions and other data only are copyright 2021 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..

Article Guidance

This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L35162, Ambulance Services (Ground Ambulance).

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted.

ICD-10-CM Codes that DO NOT Support Medical Necessity

Note: Z76.89 should be reported for patients who were transported by ambulance, but did NOT require the services of an ambulance crew. Modifier GY should be appended.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

What is the HCPCS code for ambulance service?

For line items reflecting HCPCS codes A0426, A0427, A0428, A0429, A0430, A0431, A0432, A0433, or A0434, providers are required to report in Total Charges the actual charge for the ambulance service including all supplies used for the ambulance trip, but excluding the charge for mileage.

What is CMS 1450?

Definition: For the purposes of this chapter only, the term refers to those contractors that process claims for institutionally-based ambulance providers billed on the ASC X12 837 institutional claim transaction or Form CMS-1450.

Do ambulance providers have to report revenue code?

Providers are required to report line-item dates of service per revenue code line. This means that they must report two separate revenue code lines for every ambulance trip provided during the billing period along with the date of each trip. This includes situations in which more than one ambulance service is provided to the same beneficiary on the same day. Line-item dates of service are reported in the Service Date field.

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