Does A0432 require prior authorization?

No, A0432 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for A0432?

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

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`A0432`, Paramedic intercept (pi), rural area, transport furnished by a volunteer

HCPCS/CPT

Prior Authorization

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Key Coverage Criteria

The use of emergency ground ambulance services is consideredmedically necessarywhenallthe following criteria are met:
The ambulance must have the necessary equipment and supplies to address the needs of the individual;and
The individual’s condition must be such that any form of transportation other than by ambulance would be medically contraindicated;and
Either of the following circumstances exists:Transportation from the scene of a life-threatening accident or emergency to thenearest*hospital or physician’s office with appropriate facilities for treatment of an individual’s illness or injury is required;orTransportation to or from one hospital or medical facility to another hospital or medical facility, skilled nursing facility, or free-standing dialysis center in order to obtain emergent medically necessary diagnostic or therapeutic services i [...]
Transportation from the scene of a life-threatening accident or emergency to thenearest*hospital or physician’s office with appropriate facilities for treatment of an individual’s illness or injury is required;or
Transportation to or from one hospital or medical facility to another hospital or medical facility, skilled nursing facility, or free-standing dialysis center in order to obtain emergent medically necessary diagnostic or therapeutic services is required (for example magnetic resonance imaging, computed tomography scan, acute interventional cardiology, intensive care unit [ICU] services [including neonatal ICU], Cobalt therapy, etc.) provided such services are unavailable at the facility where th [...]

6 Active Policies

ANTHEM-CG-ANC-05, Ambulance Services: Ground; Emergent

ANTHEM-CG-ANC-06, Ambulance Services: Ground; Non-Emergent

BCBSIL-MED201.058, Ambulance and Transport Services

BCBSMT-MED201.058, Ambulance and Transport Services

BCBSNM-MED201.058, Ambulance and Transport Services

BCBSOK-MED201.058, Ambulance and Transport Services

`A0432`, Paramedic intercept (pi), rural area, transport furnished by a volunteer

Prior Authorization

Medicare Pricing

Key Coverage Criteria

6 Active Policies

Related Codes

Have a follow-up question?

A0432, Paramedic intercept (pi), rural area, transport furnished by a volunteer

Prior Authorization

Medicare Pricing

Key Coverage Criteria

6 Active Policies

Related Codes

Have a follow-up question?

`A0432`, Paramedic intercept (pi), rural area, transport furnished by a volunteer