Does A0999 require prior authorization?

No, A0999 does not require prior authorization (high confidence). Covered without prior authorization.

What is the Medicare reimbursement rate for A0999?

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

The individualâs condition must be such that any form of transportation other than by ambulance would be medically contraindicated;and
The ambulance must have the necessary equipment and supplies to address the needs of the individual;and
The use of air and water ambulance services is consideredmedically necessarywhenallthe following criteria are met:
Transportation to thenearest* appropriate facility for treatment of an individualâs illness or injury when either of the following circumstances exists:Scene of an accident or emergency when there is a medical condition that is life-threatening or first responders (for example, law enforcement officers, emergency medical services members, or fire services members) deem to be life-threatening;orFrom one facility to another when the first facility does not have the required services to treat the [...]
Scene of an accident or emergency when there is a medical condition that is life-threatening or first responders (for example, law enforcement officers, emergency medical services members, or fire services members) deem to be life-threatening;or
From one facility to another when the first facility does not have the required services to treat the individual;and

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