How To Use HCPCS Code A0080

HCPCS code A0080 describes a non-emergency transportation service provided by a volunteer individual or organization. This code is used when the transportation is provided by a volunteer who has no vested interest in the service. It is important to note that this code is not payable by Medicare and does not require any maintenance. The code was added to the HCPCS list on January 01, 1982, and its pricing indicator code indicates that it is not separately priced by Part B. Additionally, the code falls under the type of service code D, which represents ambulance services.

1. What is HCPCS A0080?

HCPCS code A0080 is a specific code used to identify non-emergency transportation services provided by volunteer individuals or organizations. It is important to note that this code is not payable by Medicare, meaning that Medicare does not provide reimbursement for this particular service. The code was added to the HCPCS list on January 01, 1982, and it falls under the type of service code D, which represents ambulance services.

2. Official Description

The official description of HCPCS code A0080 is “Non-emergency transportation, per mile – vehicle provided by volunteer (individual or organization), with no vested interest.” The short description for this code is “Noninterest escort in non er.” This description indicates that the code is used to identify transportation services provided by volunteers who have no vested interest in the service. These services are typically non-emergency in nature and are charged per mile.

3. Procedure

1. Provider contacts the volunteer individual or organization to arrange for non-emergency transportation.
2. Provider provides necessary information to the volunteer, including the date, time, and location of the transportation service.
3. Volunteer arrives at the designated location with a vehicle suitable for non-emergency transportation.
4. Patient is assisted into the vehicle by the volunteer, ensuring their comfort and safety.
5. Volunteer drives the patient to the desired destination, following the most appropriate route.
6. Upon arrival at the destination, the volunteer assists the patient in exiting the vehicle.
7. Provider may provide any necessary documentation or instructions to the volunteer for future reference or follow-up.

4. When to use HCPCS code A0080

HCPCS code A0080 should be used in the context of non-emergency transportation services provided by volunteer individuals or organizations. This code is specifically for situations where the volunteer has no vested interest in the service. It is important to note that this code is not payable by Medicare, so it should not be used for billing Medicare or seeking reimbursement from Medicare for this particular service.

5. Billing Guidelines and Documentation Requirements

When billing for non-emergency transportation services using HCPCS code A0080, healthcare providers need to ensure that they have the necessary documentation to support the claim. This may include documentation of the patient’s medical condition necessitating the transportation, the date and time of the service, the distance traveled, and any other relevant information. Providers should follow the standard billing guidelines and requirements set forth by the payer, ensuring accurate and complete documentation to support the claim.

6. Historical Information and Code Maintenance

HCPCS code A0080 was added to the HCPCS list on January 01, 1982. Since its addition, there have been no significant changes or updates to the code. The code does not require any maintenance, as indicated by the HCPCS action code N. It is important for medical coders and healthcare providers to stay updated with any changes or revisions to the HCPCS codes, as these codes play a crucial role in accurate billing and reimbursement.

7. Medicare and Insurance Coverage

HCPCS code A0080 is not payable by Medicare, meaning that Medicare does not provide reimbursement for this particular service. The pricing indicator code for this code is 00, which indicates that the service is not separately priced by Part B. Additionally, the multiple pricing indicator code is 9, which means that the code is not applicable as HCPCS is not priced separately by Part B or the value is not established. It is important for healthcare providers to verify coverage and reimbursement policies with other insurance providers to determine if they provide coverage for non-emergency transportation services provided by volunteer individuals or organizations.

8. Examples

Here are some examples of scenarios where HCPCS code A0080 should be billed:

1. Example 1: A volunteer organization provides non-emergency transportation for a patient from their home to a medical appointment.
2. Example 2: An individual volunteer offers to drive a patient to a physical therapy session at a local clinic.
3. Example 3: A volunteer organization provides transportation for a patient to a community event for individuals with disabilities.
4. Example 4: A volunteer driver assists a patient in traveling to a support group meeting at a designated location.
5. Example 5: An individual volunteer offers transportation services to a patient who needs to pick up a prescription from a pharmacy.
6. Example 6: A volunteer organization provides transportation for a patient to a non-emergency medical procedure at a hospital.
7. Example 7: A volunteer driver assists a patient in traveling to a rehabilitation center for therapy sessions.
8. Example 8: An individual volunteer offers transportation services to a patient who needs to attend a counseling session.
9. Example 9: A volunteer organization provides transportation for a patient to a support center for individuals with specific medical conditions.
10. Example 10: A volunteer driver assists a patient in traveling to a diagnostic imaging center for a scheduled test.