2025 HCPCS code A0130
(Active) Effective Date: N/A Revision Date: N/A Transportation Services - Non-emergency transportation Ambulance and Other Transport Services and Supplies Feed
Non-emergency wheelchair van transportation for medical purposes.
Ambulance origin and destination modifiers may apply.
Medical necessity is established when the transportation is required for access to necessary diagnostic or therapeutic services that cannot be reasonably obtained without the use of non-emergency wheelchair van transportation.
The clinical responsibility is the transportation of the patient to and from a medical facility for necessary non-emergency care.No direct medical procedures are performed by the ambulance personnel.
In simple words: This code is for a ride in a wheelchair-accessible van to a doctor's appointment or medical facility when it's not an emergency.Medicare doesn't pay for this, but other insurance might.
This HCPCS code, A0130, represents a non-emergency medical transportation service utilizing a wheelchair van.The service transports a patient between locations for non-emergency medical reasons, typically to and from the nearest appropriate facility (hospital, critical access hospital, skilled nursing facility, dialysis center, or home) for diagnostic or therapeutic services.Medicare does not reimburse this service; coverage by other payers varies.
Example 1: A patient with a chronic illness requires regular dialysis treatments.A0130 would be used to bill for non-emergency wheelchair van transportation to and from the dialysis center., An elderly patient needs transportation to and from a series of physical therapy appointments following a hip replacement surgery.A0130 would cover the non-emergency wheelchair van transport for these visits., A patient with mobility issues requires transportation for routine medical checkups at their physician's office.A0130 could be used for the non-emergency wheelchair van transport for these visits.
Documentation should include the patient's name, date of service, origin and destination addresses, reason for transportation (link to medical necessity), and confirmation that the transport was non-emergency in nature.The wheelchair van service provider's information should also be included.
** This code should only be reported for non-emergency transportation.The use of two-digit HCPCS ambulance origin and destination modifiers may be required by some payers.
- Payment Status: Variable; Medicare does not reimburse.
- Specialties:Various specialties may utilize this code, as it pertains to patient transport, not a specific medical procedure.
- Place of Service:Various, depending on origin and destination.Could include Home, Office, Hospital, Skilled Nursing Facility, etc.