2025 HCPCS code A0428
(Active) Effective Date: N/A Revision Date: N/A Ambulance Transport - Basic Life Support (BLS) Ambulance and Other Transport Services and Supplies Feed
Ambulance service, basic life support, non-emergency transport.
Modifiers may apply based on specific circumstances; consult payer-specific guidelines.
The medical necessity for ambulance transport must be clearly documented.This includes evidence that other transportation options were medically contraindicated due to the patient's condition.
Provision of basic life support during non-emergency transport, including assessment and interventions as needed.
In simple words: This code covers a non-emergency trip in a basic life support ambulance.The ambulance crew will help you get to your destination and provide basic medical care if needed.This is for when your condition is stable, and you don't need advanced medical attention.
This HCPCS code represents non-emergency transport of a patient in a basic life support ambulance.It includes provision of a BLS assessment, BLS interventions by ambulance staff, and necessary supplies and services.The patient's condition is usually stable, requiring basic life support such as oxygen administration, wound management, splinting, and bleeding control.Minimal supplies are typically used.
Example 1: A patient with a stable but concerning medical condition (e.g., recent fall resulting in minor injury) requires transport from home to a clinic for evaluation., A patient recovering from surgery is transported from a hospital to a rehabilitation facility., A patient with a chronic condition requiring regular transport to a dialysis center utilizes this code for non-emergency transport.
Documentation must support medical necessity for ambulance transport (e.g., patient unable to use other transportation methods), details of the patient’s condition, and the services provided during transport.
** This code should not be used for emergency transport.Always verify payer-specific requirements for billing and modifiers before submitting claims.
- Payment Status: Active
- Specialties:Emergency Medical Services (EMS), Paramedicine
- Place of Service:Ambulance