Start New EnglishEspañol中文РусскийالعربيةTiếng ViệtFrançaisDeutsch한국어Tagalog Library Performance

2025 HCPCS code A0428

Ambulance service, basic life support, non-emergency transport.

Follow all payer-specific guidelines and local regulations for ambulance billing.

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.

IMPORTANT May be used with modifiers depending on specific circumstances (e.g., patient death after ambulance call - modifier QL).For emergency transport, use A0429.

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.

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

Discover what matters.

iFrame™ AI's knowledge is aligned with and limited to the materials uploaded by users and should not be interpreted as medical, legal, or any other form of advice by iFrame™.