Does A0394 require prior authorization?

No, A0394 does not require prior authorization (high confidence). Covered without prior authorization.

What is the Medicare reimbursement rate for A0394?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Non-emergency ground ambulance is medically necessary when (A) equipment/supplies to address needs, (B) transportation contraindicated, and (C) either transfer to another facility for medically necessary services unavailable at initial facility or transfer from acute care facility to home/skilled facility.
Non-emergency ground ambulance services may be considered medically necessary when the following criteria are met: A. The ambulance must have the necessary equipment and supplies; B. The individual’s condition must be such that any other form of transportation would be medically contraindicated; C. Either (1) transfer between facilities to obtain medically necessary services unavailable at initial facility, or (2) transfer from an acute care facility to home or skilled nursing facility.