HCPCS A0021 Code. Outside state ambulance serv

HCPCS Code: A0021
Long Description: Ambulance service, outside state per mile, transport (medicaid only)
Short Description: Outside state ambulance serv

Original information is taken from A0021 page

Pricing Indicator Code 1: 00 – Service not separately priced by part B (e.g., services not covered, bundled, used by part a only, etc.)
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')

Cross Reference Code 1: A0030 ;

Coverage: I – Not payable by Medicare

Berenson-Eggers Type of Service (BETOS): O1A – Ambulance
Type Of Service 1: D – Ambulance (eff 04/95)

Anesthesia Base Unit Quantity: 0
Code Added Date: 19850101
Code Effective Date: 19960910
Action Code: N – No maintenance for this code