Results 1 to 2 of 2

Ambulance transport question

  1. Default Ambulance transport question
    Medical Coding Books
    I am reviewing my mom's claims online ... she has Medicare Advantage from Blue Cross. She gets picked up by the ambulance everyother day because she is bed-confined and they take her to her dialysis treatment and then takes her back home.
    From what I know, Basic ambulance service means at least one member of the ambulance crew is certified at the basic emergency medical technician (EMT) level.
    Advanced ambulance service means at least one of the ambulance crew is additionally certified to provide emergency procedures, which at a minimum includes defibrillation and/or synchronized cardioversion.

    Is the only unique difference between A0426 Ambulance service, advanced life support, non-emergency transport, Level 1 (ALS1) and A0428 Ambulance service, basic life support, non-emergency transport (BLS) the type of ambulance staff, because looking at my mom's statements, sometimes they bill both codes, but there was never a time she needed intervention - and the reimbursement is the same from the insurance - which is why I tend to think it is just the type of ambulance that provides the transport? Am I making sense?? Thanks for any help...
    Sharon D., MA

  2. #2
    Swainsboro/Statesboro, GA
    Default Ambulance
    I do not have any direct knowledge or experience with this type billing but from what I remember in past discussions with ambulance transportation for office patients, there is a difference in the ambulance itself, not just the staff. Depending on the patient situation, a basic life support could not response to certain calls. It would make sense that an advanced would cost more to operate, regardless of the reimbursement.

Similar Threads

  1. Ambulance no transport coding
    By WCEMS in forum Modifiers
    Replies: 3
    Last Post: 11-14-2016, 10:12 PM
  2. Newborn Transport Question - Opinions Please!
    By LINDA in forum Pediatrics
    Replies: 2
    Last Post: 08-04-2012, 08:17 PM
  3. Ambulance patient transport with DR on board
    By cauer in forum General Surgery
    Replies: 2
    Last Post: 01-08-2010, 01:06 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.