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

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

Pricing/Coverage Information

Coverage Code M
Description Non-covered 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')
Medicare Carriers Manual Reference Section #1 2125
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