2025 HCPCS code A0427
(Active) Effective Date: N/A Revision Date: N/A Transportation Services - Level 1 (ALS 1-emergency) Ambulance service, advanced life support, emergency transport Feed
Ambulance service, advanced life support, emergency transport, level 1 (ALS 1-emergency).
Yes, two-digit HCPCS ambulance origin and destination modifiers.
Medical necessity for ALS 1-emergency transport is established when a patient's condition requires immediate medical attention and advanced life support interventions during transport to a medical facility.The patient's condition must be such that without immediate intervention, their health would be significantly jeopardized.
The ambulance staff, comprised of qualified emergency professionals, are responsible for providing advanced life support interventions, such as cardiac monitoring, pacing, or defibrillation, during the emergency transport of a critically ill or injured patient.They must assess the patient's condition, administer necessary treatments, and ensure continuous monitoring and support throughout the transport to the receiving medical facility.
In simple words: Emergency ambulance transportation and care for a seriously ill or injured patient who needs immediate medical attention, including specialized procedures and equipment during the ride to the hospital.
Emergency transport of a patient in an advanced life support (ALS) ambulance and provision of emergency prehospital services, including an ALS assessment and at least one ALS intervention by the ambulance staff, along with necessary supplies and services.This represents an emergency transport situation where the patient's condition requires advanced life support interventions during transit.
Example 1: A patient experiences a heart attack at home and requires immediate transport to the hospital for advanced cardiac care.ALS 1-emergency transport is necessary due to the patient's critical condition and the need for continuous monitoring and potential interventions during transit., A victim of a severe car accident sustains multiple injuries and requires rapid transport to a trauma center.The patient's unstable condition and potential need for advanced life support procedures during transport necessitate ALS 1-emergency services., A patient with a known respiratory condition experiences severe breathing difficulties and requires immediate transport to the hospital for respiratory support.The potential need for airway management and other advanced interventions during transport necessitates ALS 1-emergency level care.
Documentation should include the patient's condition at the scene, the nature of the emergency, the ALS interventions provided during transport, the time of pickup and arrival at the destination, and the mileage traveled.A detailed record of vital signs, medications administered, and any changes in the patient's condition during transport should also be included.
- Payment Status: Active
- Specialties:Emergency Medical Services, Paramedics
- Place of Service:Ambulance - Land