| A0021 |
Ambulance service, outside state per mile, transport (medicaid only) |
| A0080 |
Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest |
| A0090 |
Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest |
| A0100 |
Non-emergency transportation; taxi |
| A0110 |
Non-emergency transportation and bus, intra or inter state carrier |
| A0120 |
Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems |
| A0130 |
Non-emergency transportation: wheelchair van |
| A0140 |
Non-emergency transportation and air travel (private or commercial) intra or inter state |
| A0160 |
Non-emergency transportation: per mile - case worker or social worker |
| A0170 |
Transportation ancillary: parking fees, tolls, other |
| A0180 |
Non-emergency transportation: ancillary: lodging-recipient |
| A0190 |
Non-emergency transportation: ancillary: meals-recipient |
| A0200 |
Non-emergency transportation: ancillary: lodging escort |
| A0210 |
Non-emergency transportation: ancillary: meals-escort |
| A0225 |
Ambulance service, neonatal transport, base rate, emergency transport, one way |
| A0380 |
Bls mileage (per mile) |
| A0382 |
Bls routine disposable supplies |
| A0384 |
Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) |
| A0390 |
Als mileage (per mile) |
| A0392 |
Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) |
| A0394 |
Als specialized service disposable supplies; iv drug therapy |
| A0396 |
Als specialized service disposable supplies; esophageal intubation |
| A0398 |
Als routine disposable supplies |
| A0420 |
Ambulance waiting time (als or bls), one half (1/2) hour increments |
| A0422 |
Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation |
| A0424 |
Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review) |
| A0425 |
Ground mileage, per statute mile |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
| A0430 |
Ambulance service, conventional air services, transport, one way (fixed wing) |
| A0431 |
Ambulance service, conventional air services, transport, one way (rotary wing) |
| A0432 |
Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers |
| A0433 |
Advanced life support, level 2 (als 2) |
| A0434 |
Specialty care transport (sct) |
| A0435 |
Fixed wing air mileage, per statute mile |
| A0436 |
Rotary wing air mileage, per statute mile |
| A0888 |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
| A0998 |
Ambulance response and treatment, no transport |
| A0999 |
Unlisted ambulance service |