HCPCS Code A0998

Official Description

Ambulance response and treatment, no transport

Short Descr	Ambulance response/treatment
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	1/1/2006
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.
IOM	100-02, 10, 20
OTS Orthotic	No
CCS Clinical Classification	239 - Transportation - patient, provider, equipment

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
RR	Rental (use the 'rr' modifier when dme is to be rented)
SS	Home infusion services provided in the infusion suite of the iv therapy provider
EE	Hematocrit level has not exceeded 39% (or hemoglobin level has not exceeded 13.0 g/dl) for 3 or more consecutive billing cycles immediately prior to and including the current cycle
HR	Family/couple with client present
GW	Service not related to the hospice patient's terminal condition
HN	Bachelors degree level
QL	Patient pronounced dead after ambulance called
RI	Ramus intermedius coronary artery
QN	Ambulance service furnished directly by a provider of services
UB	Medicaid level of care 11, as defined by each state
HE	Mental health program
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.
PS	Positron emission tomography (pet) or pet/computed tomography (ct) to inform the subsequent treatment strategy of cancerous tumors when the beneficiary's treating physician determines that the pet study is needed to inform subsequent anti-tumor strategy
U1	Medicaid level of care 1, as defined by each state
GA	Waiver of liability statement issued as required by payer policy, individual case
UC	Medicaid level of care 12, as defined by each state
CC	Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
CR	Catastrophe/disaster related
ER	Items and services furnished by a provider-based, off-campus emergency department
ET	Emergency services
FY	X-ray taken using computed radiography technology/cassette-based imaging
GL	Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn)
GV	Attending physician not employed or paid under arrangement by the patient's hospice provider
GZ	Item or service expected to be denied as not reasonable and necessary
HA	Child/adolescent program
HH	Integrated mental health/substance abuse program
HI	Integrated mental health and intellectual disability/developmental disabilities program
HS	Family/couple without client present
LL	Lease/rental (use the 'll' modifier when dme equipment rental is to be applied against the purchase price)
NR	New when rented (use the 'nr' modifier when dme which was new at the time of rental is subsequently purchased)
PN	Non-excepted service provided at an off-campus, outpatient, provider-based department of a hospital
RE	Furnished in full compliance with fda-mandated risk evaluation and mitigation strategy (rems)
SD	Services provided by registered nurse with specialized, highly technical home infusion training
SH	Second concurrently administered infusion therapy
SN	Third surgical opinion
SW	Services provided by a certified diabetic educator
U6	Medicaid level of care 6, as defined by each state
U8	Medicaid level of care 8, as defined by each state
UA	Medicaid level of care 10, as defined by each state
XE	Separate encounter, a service that is distinct because it occurred during a separate encounter