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2025 HCPCS code A0225

One-way emergency ambulance transport for a neonate (infant under one month).

Follow payer-specific guidelines and local regulations. This code is for one-way transport only; additional codes are required for return transport.

Modifiers may be applied to specify the origin and destination of the ambulance transport, but these are not explicitly mentioned in the provided data. Additional research should be performed to ascertain any permissible modifiers.

The medical necessity of this transport is determined by the urgency of the situation and the medical need for transport to a facility with specialized neonatal care.The documentation should justify the immediate need for transport.

Emergency medical technicians (EMTs) or paramedics provide care and transport during the ambulance ride.

In simple words: This code covers a one-way ambulance ride for a baby less than a month old in an emergency.The cost includes the trip to the closest hospital and care given during the ride.There might be extra charges for distance. Medicare doesn't pay for this, so check with your insurance.

This HCPCS code represents the one-way emergency transport of a neonate (infant less than one month old) via ambulance. The base rate covers transport to the nearest appropriate facility and services rendered during transport. Mileage may be billed separately. Medicare does not cover this service; check with other payers for coverage.

Example 1: A premature infant is born at a rural birthing center and requires immediate transfer to a neonatal intensive care unit (NICU) at a larger hospital. A0225 would cover the one-way ambulance transport., A newborn exhibits respiratory distress shortly after birth at home. Emergency medical services are dispatched, and the infant is transported to the nearest hospital's emergency department via ambulance. A0225 would apply., During transport from a birthing center, a neonate experiences a sudden drop in oxygen saturation.The ambulance crew provides emergency stabilization, and the infant is rapidly transported to a tertiary care center with specialized neonatal capabilities. A0225 is used for this emergency transport.

* Documentation of the emergency medical condition necessitating transport.* Infant's age and gestational age, confirming that the infant is a neonate (less than one month old).* Record of the origin and destination of the transport.* Detailed description of services provided during transport.

** Medicare does not cover this service.Confirm coverage with the relevant payer before billing.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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