How To Use HCPCS Code A0436

HCPCS code A0436 describes the rotary wing air mileage, per statute mile. This code is used to identify the specific service of rotary wing air transportation and the associated mileage. In this article, we will explore the details of HCPCS code A0436, including its official description, procedure, usage guidelines, billing requirements, historical information, coverage by Medicare and insurance, and provide examples of when this code should be billed.

1. What is HCPCS A0436?

HCPCS code A0436 is used to identify the rotary wing air mileage, per statute mile. It is specifically related to the air transportation service provided by rotary wing aircraft. This code is used to report the mileage associated with this mode of transportation.

2. Official Description

The official description of HCPCS code A0436 is “Rotary wing air mileage, per statute mile.” The short description for this code is “Rotary wing air mileage.”

3. Procedure

1. The provider should accurately measure the distance traveled by the rotary wing aircraft in statute miles.
2. The mileage should be documented and recorded for billing purposes.
3. The provider should ensure that the rotary wing air transportation service meets the necessary criteria for reporting under HCPCS code A0436.

4. When to use HCPCS code A0436

HCPCS code A0436 should be used when reporting the rotary wing air mileage for the transportation service provided by rotary wing aircraft. It is important to note that this code is specific to rotary wing air transportation and should not be used for other modes of transportation.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A0436, healthcare providers should ensure that the following documentation requirements are met:

• Accurate measurement of the rotary wing air mileage in statute miles.
• Documentation of the rotary wing air transportation service provided.
• Supporting documentation, such as flight logs or other relevant records, may be required for verification purposes.

6. Historical Information and Code Maintenance

HCPCS code A0436 was added to the Healthcare Common Procedure Coding System on January 01, 2001. 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.

7. Medicare and Insurance Coverage

HCPCS code A0436 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code for this code is 52, which indicates a reasonable charge. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of scenarios where HCPCS code A0436 should be billed:

1. A patient requires rotary wing air transportation for medical purposes and the distance traveled is 50 statute miles.
2. A patient is transported by a rotary wing aircraft for emergency medical evacuation, and the distance traveled is 100 statute miles.
3. A patient is transported by a rotary wing aircraft for inter-hospital transfer, and the distance traveled is 75 statute miles.
4. A patient requires rotary wing air transportation for specialized medical treatment, and the distance traveled is 200 statute miles.
5. A patient is transported by a rotary wing aircraft for organ transplantation, and the distance traveled is 150 statute miles.