How To Use HCPCS Code A0120

HCPCS code A0120 describes non-emergency transportation services provided by a mini-bus, mountain area transports, or other transportation systems. 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 A0120?

HCPCS code A0120 is used to identify non-emergency transportation services provided by a mini-bus, mountain area transports, or other transportation systems. This code is specifically for situations where patients require 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 A0120 is “Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems.” The short description for this code is “Noner transport mini-bus.”

3. Procedure

1. Patients who require non-emergency transportation services should contact their healthcare provider or facility to arrange for transportation.
2. The healthcare provider or facility will assess the patient’s transportation needs and determine if non-emergency transportation services are necessary.
3. If non-emergency transportation services are deemed necessary, the provider will arrange for a mini-bus, mountain area transport, or other transportation system to pick up the patient.
4. The transportation service will safely transport the patient to their healthcare appointment or facility.
5. Upon arrival, the patient will be dropped off at the designated location.

4. When to use HCPCS code A0120

HCPCS code A0120 should be used when a patient requires non-emergency transportation services to reach their healthcare appointments or facilities. It is important to note that this code is not applicable for emergency situations where immediate medical attention is required.

5. Billing Guidelines and Documentation Requirements

When billing for non-emergency transportation services using HCPCS code A0120, healthcare providers need to document the following:

• Date and time of transportation
• Origin and destination of transportation
• Reason for transportation (e.g., medical appointment, therapy session)
• Any additional services provided during transportation (if applicable)

6. Historical Information and Code Maintenance

HCPCS code A0120 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.

7. Medicare and Insurance Coverage

HCPCS code A0120 is not payable by Medicare, as indicated by the coverage code I, which means it is not payable by Medicare. The pricing indicator code for this code is 00, which means the service is not separately priced by Part B. This could be due to the service not being covered, bundled, or used by Part A only. The multiple pricing indicator code is 9, which means it is not applicable as HCPCS is not priced separately by Part B or the value is not established.

8. Examples

Here are five examples of when HCPCS code A0120 should be billed:

1. A patient requires non-emergency transportation to a routine medical check-up.
2. An elderly patient needs transportation to a physical therapy session.
3. A patient with limited mobility requires transportation to a specialist appointment.
4. A patient undergoing regular dialysis treatments needs transportation to the dialysis center.
5. A patient with a chronic condition requires transportation to a rehabilitation facility for ongoing treatment.