HCPCS Code A0130

Official Description

Non-emergency transportation: wheelchair van

Short Descr	Noner transport wheelch van
Coverage	Not payable by Medicare
Pricing Indicator(s)	00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
MPI	9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
BETOS	O1A – Ambulance
TOS Code(s)	D – Ambulance
Added Date	1/1/1982
Status Code	Not Valid for Medicare Purposes
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	9 - Not Applicable
Multiple Procedures (51)	9 - Concept does not apply.
Bilateral Surgery (50)	9 - Concept does not apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	9 - Concept does not apply.
Co-Surgeons (62)	9 - Concept does not apply.
Team Surgery (66)	9 - Concept does not apply.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Non-Covered Service, not paid under OPPS
MUE	0
MUE	Not applicable/unspecified.
OTS Orthotic	No
CCS Clinical Classification	239 - Transportation - patient, provider, equipment

HN	Bachelors degree level
GY	Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit
HR	Family/couple with client present
HH	Integrated mental health/substance abuse program
PN	Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital
HE	Mental health program
NR	New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)
76	Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
CQ	Outpatient physical therapy services furnished in whole or in part by a physical therapist assistant
EP	Service provided as part of medicaid early periodic screening diagnosis and treatment (epsdt) program
ER	Items and services furnished by a provider-based, off-campus emergency department
GA	Waiver of liability statement issued as required by payer policy, individual case
GP	Services delivered under an outpatient physical therapy plan of care
GW	Service not related to the hospice patient's terminal condition
HD	Pregnant/parenting women's program
HI	Integrated mental health and intellectual disability/developmental disabilities program
HJ	Employee assistance program
HP	Doctoral level
HS	Family/couple without client present
JE	Administered via dialysate
QN	Ambulance service furnished directly by a provider of services
RD	Drug provided to beneficiary, but not administered "incident-to"
RE	Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)
RP	Replacement and repair -rp may be used to indicate replacement of dme, orthotic and prosthetic devices which have been in use for sometime. the claim shows the code for the part, followed by the 'rp' modifier and the charge for the part.
RR	Rental (use the 'rr' modifier when dme is to be rented)
SE	State and/or federally-funded programs/services
SH	Second concurrently administered infusion therapy
SS	Home infusion services provided in the infusion suite of the iv therapy provider
TK	Extra patient or passenger, non-ambulance
TP	Medical transport, unloaded vehicle
U3	Medicaid level of care 3, as defined by each state
U5	Medicaid level of care 5, as defined by each state