How To Use HCPCS Code A0080

HCPCS code A0080 describes non-emergency transportation services provided by a volunteer individual or organization. This code is specifically used for transportation services where the vehicle is provided by a volunteer and there is no vested interest involved. It is important to note that this code is not applicable for emergency situations where immediate medical attention is required. Instead, it is used for patients who need assistance in reaching their healthcare appointments or facilities but do not have an urgent medical condition.

1. What is HCPCS A0080?

HCPCS code A0080 is used to identify non-emergency transportation services provided by a volunteer individual or organization. This code is specifically used when the transportation is provided by a volunteer and there is no vested interest involved. It is important to note that this code is not applicable for emergency situations where immediate medical attention is required. Instead, it is used for patients who need assistance in reaching their healthcare appointments or facilities but do not have an urgent medical condition.

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.”

3. Procedure

1. The provider should ensure that the transportation service is non-emergency and that the vehicle is provided by a volunteer individual or organization with no vested interest.
2. The provider should calculate the distance traveled for the transportation service.
3. The provider should document the number of miles traveled for the transportation service.
4. The provider should submit the appropriate documentation and claim for reimbursement.

4. When to use HCPCS code A0080

HCPCS code A0080 should be used when providing non-emergency transportation services where the vehicle is provided by a volunteer individual or organization with no vested interest. This code is not applicable for emergency situations where immediate medical attention is required. It is important to use this code only for patients who need assistance in reaching their healthcare appointments or facilities but do not have an urgent medical condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A0080, healthcare providers need to document the following:

• The non-emergency nature of the transportation service
• The vehicle being provided by a volunteer individual or organization with no vested interest
• The number of miles traveled for the transportation service

Providers should ensure that the documentation is accurate and complete before submitting the claim for reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A0080 was added to the Healthcare Common Procedure Coding System on January 01, 1982. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It is important to note that this code has a pricing indicator code of 00, which means the service is not separately priced by Part B. This indicates that the service is not covered, bundled, or used by Part A only.

7. Medicare and Insurance Coverage

HCPCS code A0080 is not payable by Medicare, as indicated by the coverage code I, which means it is not payable by Medicare. The multiple pricing indicator code for this code is 9, which means it 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.

8. Examples

Here are five examples of when HCPCS code A0080 should be billed:

1. A volunteer organization provides non-emergency transportation for a patient to a routine doctor’s appointment.
2. An individual volunteer drives a patient to a physical therapy session.
3. A volunteer organization offers transportation services for a patient to a diagnostic imaging center.
4. An individual volunteer provides transportation for a patient to a specialist consultation.
5. A volunteer organization assists a patient in reaching a rehabilitation facility for therapy sessions.