Ambulance Non transport reason

wonder1963

Networker
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TULSA
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When billing A0998 the 5010 specs require a transport reason code,

A Patient was transported to nearest facility for care of symptoms, complaints, or both618 Can be used to indicate that the patient was transferred to a residential facility.

B Patient was transported for the benefit of a preferred physician

C Patient was transported for the nearness of family members

D Patient was transported for the care of a specialist or for availability of specialized equipment

E Patient Transferred to Rehabilitation Facility

none of these make sense to me, what are billers doing to get this past the edits?
 
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Is this for Medicare? It's non-covered and will always be pt responsibility (with an ABN). Have you tried RR GY? You'd also need to include a narrative of "no transport."
 

wonder1963

Networker
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TULSA
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non transport claims

No it is not Medicare and it is not the modifiers in question it is the transport reason . Someone told me to bill without the Ambulance certification so that it is not realized as an ambulance transport claim

When billing A0998 the 5010 specs require a transport reason code,

A Patient was transported to nearest facility for care of symptoms, complaints, or both618 Can be used to indicate that the patient was transferred to a residential facility.

B Patient was transported for the benefit of a preferred physician

C Patient was transported for the nearness of family members

D Patient was transported for the care of a specialist or for availability of specialized equipment

E Patient Transferred to Rehabilitation Facility

none of these make sense to me, what are billers doing to get this past the edits?
 
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