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2025 HCPCS code A0999

Unlisted ambulance service.

Use this code only when no other HCPCS code accurately describes the provided ambulance service. Always select the most specific code available before using A0999. Provide comprehensive documentation justifying the use of this code and the related charges.

In simple words: This code is used for ambulance services that don't have a specific code, like when an ambulance is called but doesn't give treatment or transport. The ambulance company needs to explain why they used this code and what service they actually provided.

This code is used to report ambulance transportation services not otherwise specified by existing HCPCS codes. It covers situations where a patient utilizes ambulance services in a manner not described by standard codes, including instances where an ambulance is called but no treatment or transport is provided.Providers must thoroughly document the nature of the unlisted service and the reasons for using this code. This includes detailed descriptions of the services rendered and any accompanying circumstances.

Example 1: A patient calls for an ambulance experiencing chest pain. Upon arrival, paramedics assess the patient, determining the issue to be non-cardiac and not requiring immediate transport. The patient is advised on next steps, and the ambulance departs. Code A0999 would be appropriate in this instance., An ambulance is dispatched to a motor vehicle accident. Paramedics arrive and assess the individuals involved, who have minor injuries and refuse transport. Code A0999 could apply as transport was not provided despite assessment., An ambulance is requested for a patient experiencing a severe allergic reaction. While en route, the ambulance is rerouted to a more urgent incident. If a fee applies to the initial response before rerouting, A0999 may be used with clear documentation of the reason.

Detailed documentation of the services provided, circumstances requiring the use of A0999, and justification for the charges. This may include paramedic notes, patient assessment records, and explanations for non-transport or unusual circumstances necessitating this code.

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