2025 HCPCS Code A0021

Ambulance service, outside state per mile, transport (medicaid only)

TAGS: ambulance outside state transport

Short Description	Outside state ambulance serv
HCPCS Action Code	N - No maintenance for this code
HCPCS Coverage Code	I - Not payable by Medicare
HCPCS Code Added Date	January 01, 1985
HCPCS Action Effective Date	September 10, 1996
HCPCS Pricing Indicator Code	00 - Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
HCPCS Type Of Service Code	D - Ambulance (eff 04/95)
HCPCS Multiple Pricing Indicator Code	9 - Not applicable as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Coverage Issues Manual Reference Section Number