ambulance ALS

VRcoder29

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Can anyone please help me? I have been doing ambulance billing for about 3 years. I keep getting different input. I am trying to make sure I am coding the ALS Emergency run correctly. Our ambulance service pairs a Paramedic and an EMT-B/ or Advanced on every truck. There is also one truck dedicated to BLS runs only. When dispatch calls our ALS medic truck out on a 911 call, the medic does the assesment and turns the patient over to the basic, does that automatically make this run a BLS run, which means billing it as A0429 ? I thought if the paramedic assesed the patient on an ALS truck and then determined the patient could be treated by the Advanced or Basic EMT than it was still billed as A0427?

Another question, can an advance EMT ever bill for A0427?
 
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