Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
A0888 |
HCPCS Sequence Number |
0010 |
HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
HCPCS Long Description |
Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility) |
HCPCS Short Description |
Noncovered ambulance mileage |
HCPCS Pricing Indicator Code 1 |
00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) |
HCPCS Multiple Pricing Indicator Code |
9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') |
HCPCS Medicare Carriers Manual Reference Section Number 1 |
2125 |
HCPCS Coverage Code |
M - Non-covered by Medicare |
HCPCS Berenson-Eggers Type Of Service Code |
O1A - Ambulance |
HCPCS Type Of Service Code 1 |
D - Ambulance (eff 04/95) |
HCPCS Anesthesia Base Unit Quantity |
0 |
HCPCS Code Added Date |
1/1/1995 |
HCPCS Action Effective Date |
1/1/1995 |
HCPCS Action Code |
N - No maintenance for this code |