How To Use HCPCS Code A0180

HCPCS code A0180 describes non-emergency transportation services that include ancillary lodging for the recipient. This code is used to identify the specific type of transportation provided and 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 A0180?

HCPCS code A0180 is used to identify non-emergency transportation services provided by a healthcare facility. This code specifically refers to the ancillary lodging provided to the recipient during the transportation. 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 A0180 is “Non-emergency transportation: ancillary: lodging-recipient.” The short description for this code is “Noner transport lodgng recip.”

3. Procedure

1. When providing non-emergency transportation services with ancillary lodging, the healthcare provider should ensure that the recipient’s lodging needs are met.
2. This may involve arranging accommodations at a nearby hotel or lodging facility.
3. The provider should coordinate with the recipient to determine their preferred lodging arrangements and any specific requirements they may have.
4. Once the lodging arrangements are made, the provider should communicate the details to the recipient, including the location, check-in/check-out times, and any other relevant information.
5. During the transportation, the provider should ensure the recipient’s safety and comfort.
6. Upon arrival at the lodging facility, the provider should assist the recipient with the check-in process and ensure they are settled in their accommodations.
7. If necessary, the provider should also arrange for transportation from the lodging facility to the healthcare appointment or facility.

4. When to use HCPCS code A0180

HCPCS code A0180 should be used when providing non-emergency transportation services that include ancillary lodging for the recipient. This code is specifically for patients who do not require immediate medical attention but need assistance in reaching their healthcare appointments or facilities. It is important to note that this code is not applicable for emergency situations.

5. Billing Guidelines and Documentation Requirements

When billing for non-emergency transportation services with ancillary lodging using HCPCS code A0180, healthcare providers should ensure that the following documentation is in order:

• Proof of the recipient’s eligibility for the transportation services
• Documentation of the lodging arrangements made for the recipient
• Any additional documentation required by the payer or insurer

Providers should also follow the billing guidelines set forth by the payer or insurer to ensure accurate and timely reimbursement for the services provided.

6. Historical Information and Code Maintenance

HCPCS code A0180 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. The code’s pricing indicator code is 00, which indicates that the service is not separately priced by Part B. 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.

7. Medicare and Insurance Coverage

HCPCS code A0180 is not payable by Medicare, as indicated by the coverage code I, which means it is not payable by Medicare. The pricing indicator code 00 further confirms that the service is not separately priced by Part B. It is important for healthcare providers to check with the specific payer or insurer regarding coverage and reimbursement for non-emergency transportation services with ancillary lodging.

8. Examples

Here are five examples of when HCPCS code A0180 should be billed:

1. A patient requires non-emergency transportation to a specialized medical facility located far from their residence. The healthcare provider arranges for lodging near the facility to ensure the patient’s comfort and convenience during their treatment.
2. An elderly patient needs transportation to a rehabilitation center for physical therapy sessions. The healthcare provider arranges for lodging near the center to minimize the patient’s travel time and ensure they can attend their therapy sessions without any inconvenience.
3. A patient with a chronic condition requires regular visits to a healthcare facility for check-ups and treatment. The healthcare provider arranges for lodging near the facility to ensure the patient can easily access the necessary care without the stress of long-distance travel.
4. A patient is scheduled for a series of medical tests and procedures that require multiple visits to a healthcare facility. The healthcare provider arranges for lodging near the facility to ensure the patient can comfortably complete their appointments without the need for daily travel.
5. A patient needs transportation to a specialized clinic for a consultation with a specific healthcare professional. The healthcare provider arranges for lodging near the clinic to ensure the patient can attend the consultation without any travel-related challenges.