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

Basic Information

Added: 1/1/1985
HCPCS Action Effective Date

9/10/1996

HCPCS Action Code/Description

N / No maintenance for this code

Short Description: Outside state ambulance serv
Long Description: Ambulance service, outside state per mile, transport (medicaid only)
Anesthesia Base Unit Quantity

0

Service Code Information

HCPCS Berenson-Eggers Type Of Service Code/Description:

O1A / Ambulance

HCPCS Type Of Service Code #1 D
Type Of Service Cod #1 Description Ambulance (eff 04/95)

Pricing/Coverage Information

Coverage Code I
Description Not payable by Medicare
Pricing Indicator Code #1 00
Pricing Indicator Code #1 Description Service not separately priced by part B (e.G., services not covered, bundled, used part a only, etc.)
Pricing Indicator Code #1 Type
Multi-Pricing Indicator Code 9
Description Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')

HCPCS Cross Reference Codes for A0021

See A0030

;