HCPCS Codes - Medical Procedures, Supplies & DME Codes - a0 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("a0" Codes):- A0021 ambulance service outside state per mile HCPCS Code Code
- A0080 nonemergency transportation per mile vehicle HCPCS Code Code
- A0090 nonemergency transportation per mile vehicle HCPCS Code Code
- A0100 nonemergency transportation taxi HCPCS Code Code
- A0110 nonemergency transportation bus intra inter state HCPCS Code Code
- A0120 nonemergency transportation minibus mountain area transports HCPCS Code Code
- A0130 nonemergency transportation wheelchair van HCPCS Code Code
- A0140 nonemergency transportation air travel private commercial HCPCS Code Code
- A0160 nonemergency transportation per mile case HCPCS Code Code
- A0170 transportation ancillary parking fees tolls HCPCS Code Code
- A0180 nonemergency transportation ancillary lodgingrecipient HCPCS Code Code
- A0190 nonemergency transportation ancillary mealsrecipient HCPCS Code Code
- A0200 nonemergency transportation ancillary lodging escort HCPCS Code Code
- A0210 nonemergency transportation ancillary mealsescort HCPCS Code Code
- A0225 ambulance service neonatal transport base rate HCPCS Code Code
- A0380 bls mileage per mile HCPCS Code Code
- A0382 bls routine disposable supplies HCPCS Code Code
- A0384 bls specialized service disposable supplies defibrillation HCPCS Code Code
- A0390 als mileage per mile HCPCS Code Code
- A0392 als specialized service disposable supplies defibrillation HCPCS Code Code
- A0394 als specialized service disposable supplies iv HCPCS Code Code
- A0396 als specialized service disposable supplies esophageal HCPCS Code Code
- A0398 als routine disposable supplies HCPCS Code Code
- A0420 ambulance waiting time als bls one HCPCS Code Code
- A0422 ambulance als bls oxygen oxygen supplies HCPCS Code Code
- A0424 extra ambulance attendant ground als bls HCPCS Code Code
- A0425 ground mileage per statute mile HCPCS Code Code
- A0426 ambulance service advanced life support nonemergency HCPCS Code Code
- A0427 ambulance service advanced life support emergency HCPCS Code Code
- A0428 ambulance service basic life support nonemergency HCPCS Code Code
- A0429 ambulance service basic life support emergency HCPCS Code Code
- A0430 ambulance service conventional air services transport HCPCS Code Code
- A0431 ambulance service conventional air services transport HCPCS Code Code
- A0432 paramedic intercept pi rural area transport HCPCS Code Code
- A0433 advanced life support level 2 als HCPCS Code Code
- A0434 specialty care transport sct HCPCS Code Code
- A0435 fixed wing air mileage per statute HCPCS Code Code
- A0436 rotary wing air mileage per statute HCPCS Code Code
- A0800 AMB TRANS 7PM-7AM HCPCS Code Code
- A0888 noncovered ambulance mileage per mile eg HCPCS Code Code
- A0998 ambulance response treatment no transport HCPCS Code Code
- A0999 unlisted ambulance service HCPCS Code Code
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HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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