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2025 HCPCS code A0380

This HCPCS code represents mileage for basic life support (BLS) ambulance transport.It is reported per mile traveled.

This code should be reported only for the actual miles driven while the patient is in the ambulance.Two-digit HCPCS ambulance origin and destination modifiers are typically used in conjunction with this code.

Applicable modifiers may include those that specify the origin and destination of the ambulance transport.

Medical necessity is established by the need for ambulance transport due to the patient's medical condition, and the inability to safely transport the patient by alternative means.The condition should justify the need for ambulance transport as determined by the appropriate personnel dispatching the vehicle.

The clinical responsibility lies with the qualified emergency medical professionals in the BLS ambulance. They provide basic life support services during transport, such as oxygen administration, monitoring vital signs, wound management, splinting, and bleeding control.

In simple words: This code covers the cost of an ambulance ride, specifically the miles driven while you're in the ambulance.The ambulance provides basic medical care during transport.Medicare doesn't pay for this, but other insurance might.

HCPCS code A0380 represents the mileage charge associated with basic life support (BLS) ambulance transport.A BLS ambulance is equipped for basic life support services such as oxygen administration, vital signs monitoring, wound management, splinting, and bleeding control. This code is reported on a per-mile basis for the distance traveled while the patient is in the ambulance.Medicare does not reimburse for this service; coverage by other payers may vary.

Example 1: A patient experiences a fall at home, resulting in a minor injury.A BLS ambulance transports the patient to a nearby urgent care center. A0380 would be billed for the miles driven., A patient with stable angina has chest pain and calls EMS. A BLS ambulance transports them to the hospital. The mileage (A0380) is billed along with other appropriate ambulance codes., A patient with a non-emergency medical condition, such as a severe migraine, requires transportation to a specialist. A BLS ambulance is used.The mileage would be billed using A0380.

Documentation should include the patient's location of origin and destination, the total mileage of the transport, and a description of the medical necessity for the transport.The ambulance run report should detail the services provided during transport.

** Medicare does not cover this code.Coverage by other payers may vary depending on the patient's condition, necessity of the transport, and payer policies.Always check with the specific payer for their coverage guidelines.

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

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