Does A0888 require prior authorization?

No, A0888 does not require prior authorization (high confidence). Covered without prior authorization.

What is the Medicare reimbursement rate for A0888?

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

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`A0888`, Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest

HCPCS/CPT

Prior Authorization

No Prior Auth Required

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-04, Ambulance Services: Air and Water

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

`A0888`, Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest

Prior Authorization

Medicare Pricing

Key Coverage Criteria

6 Active Policies

Related Codes

Have a follow-up question?

A0888, Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest

Prior Authorization

Medicare Pricing

Key Coverage Criteria

6 Active Policies

Related Codes

Have a follow-up question?

`A0888`, Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest