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 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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