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

Basic Information

Added:1/1/1995
HCPCS Action Effective Date

1/1/1995

HCPCS Action Code/Description

N / No maintenance for this code

Short Description:Noncovered ambulance mileage
Long Description:Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)
Anesthesia Base Unit Quantity

0

Service Code Information

HCPCS Berenson-Eggers Type Of Service Code/Description:

O1A / Ambulance

Pricing/Coverage Information

Coverage CodeM
Description Non-covered by Medicare
Pricing Indicator Code #100
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 Code9
Description Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Medicare Carriers Manual Reference Section #12125