2025 HCPCS code A0120
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Transportation Services - Non-emergency transportation Ambulance and Other Transport Services and Supplies Feed
Non-emergency transportation using a mini-bus, mountain area transport, or other means for non-emergency medical purposes.
Modifiers may apply depending on payer requirements and specific circumstances of the transport.Consult payer guidelines and relevant documentation for appropriate modifier use.Two-digit ambulance origin and destination modifiers may be used.
Medical necessity for A0120 is established when the patient lacks alternative transportation and the transport is for a medically necessary procedure or treatment that is not an emergency. The documentation needs to clearly justify the requirement for this type of transport.
The clinical responsibility involves arranging and providing non-emergency transportation for the patient to and from healthcare facilities for necessary medical services.This may involve coordination with the patient, family, and transportation providers.
In simple words: This code is for rides in a van, special mountain vehicle, or other type of transportation to get to a doctor's appointment or medical treatment that isn't an emergency.Medicare doesn't usually pay for this, but other insurance may.
This HCPCS code represents a non-emergency transport service where a patient utilizes a mini-bus, mountain area transport, or another mode of transportation to travel between locations for non-emergency medical reasons.The patient typically travels to and from the nearest appropriate facility (hospital, critical access hospital, skilled nursing facility, dialysis facility, or home) to receive necessary diagnostic and/or therapeutic services.Reimbursement may vary by payer; Medicare does not cover this service.
Example 1: A patient with a chronic condition requiring regular dialysis treatments needs transportation to and from the dialysis center. A0120 would be used to bill for this non-emergency transport., A patient in a remote mountain area requires transport to a hospital for a scheduled follow-up appointment.A0120 could be used for the specialized mountain transport., A group of patients needing non-emergency transport to a specialized clinic for a coordinated health screening program utilizing a mini-bus could use this code to bill the transportation cost.
Documentation should include the patient's diagnosis, the reason for transport, the origin and destination addresses, the date and time of the transport, and the method of transportation used. Supporting documentation could include medical necessity justification for transport and patient consent.
** This code is often used for non-emergency, scheduled transports to and from medical facilities.It is important to document the medical necessity of the transport and adhere to payer-specific billing guidelines.Medicare reimbursement is not available for this HCPCS code.
- Payment Status: Variable; Not covered by Medicare
- Fee Schedule : Unknown
- Specialties:Various specialties may utilize this code, depending on the patient's condition and the purpose of transport.
- Place of Service:This code is applicable to various places of service as the transport itself is not tied to a specific location, but rather is a linkage between two locations.It could encompass a variety of origins and destinations (Home, Office, Hospital, etc.)