How To Use HCPCS Code A0130

HCPCS code A0130 describes non-emergency transportation services provided by a wheelchair van. This code is used to identify the transportation of patients who require a wheelchair for mobility but do not have an urgent medical condition. In this article, we will explore the details of HCPCS code A0130, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS A0130?

HCPCS code A0130 is used to identify non-emergency transportation services provided by a wheelchair van. This code specifically refers to transportation services for patients who require a wheelchair for mobility. 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 A0130 is “Noner transport wheelch van.” The short description is “Non-emergency transportation: wheelchair van.” This description accurately reflects the purpose of this code, which is to identify non-emergency transportation services provided by a wheelchair van.

3. Procedure

1. The provider arranges for a wheelchair van to transport the patient.
2. The patient is assisted into the wheelchair van, ensuring their safety and comfort.
3. The provider ensures that the patient’s wheelchair is securely fastened in the van to prevent any movement during transportation.
4. The provider drives the wheelchair van to the designated healthcare appointment or facility.
5. Upon arrival, the patient is safely assisted out of the van and into the healthcare facility.

4. When to use HCPCS code A0130

HCPCS code A0130 should be used when a patient requires non-emergency transportation services provided by a wheelchair van. This code is applicable for patients who need assistance in reaching their healthcare appointments or facilities but do not have an urgent medical condition. It is important to ensure that the patient meets the eligibility criteria for non-emergency transportation services and that the use of a wheelchair van is necessary for their mobility.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A0130, healthcare providers need to document the following:

• The medical necessity of non-emergency transportation services
• The patient’s need for a wheelchair van due to their mobility limitations
• The date and time of the transportation service
• The origin and destination of the transportation
• Any additional services provided during the transportation, if applicable

Providers should ensure that the documentation supports the medical necessity of the service and includes all required information for accurate billing.

6. Historical Information and Code Maintenance

HCPCS code A0130 was added to the Healthcare Common Procedure Coding System on January 01, 1982. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its inclusion in the coding system.

7. Medicare and Insurance Coverage

HCPCS code A0130 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 indicates that the service is not separately priced by Part B. This means that the service is either not covered, bundled with other services, or used exclusively by Part A. The multiple pricing indicator code is 9, which means it is not applicable as HCPCS code A0130 is not priced separately by Part B or the value is not established.

8. Examples

Here are five examples of when HCPCS code A0130 should be billed:

1. A patient with a mobility limitation due to a medical condition requires transportation to a routine medical appointment using a wheelchair van.
2. An elderly patient needs transportation to a physical therapy session using a wheelchair van.
3. A patient with a disability requires transportation to a specialized healthcare facility using a wheelchair van.
4. A patient recovering from surgery needs transportation to a follow-up appointment using a wheelchair van.
5. A patient with a chronic illness requires transportation to a dialysis center using a wheelchair van.