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
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