Non-emergent, pre-planned services are authorized by the State authorizing agency. Enter at least one but no more than twelve diagnosis codes based on the member's diagnosis/condition. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. What is the HCPCS code for non-emergency transportation? Other Insured's Policy or Group Number. (See Mobility/Ambulatory Vehicle). NEMT can only be utilized to transport eligible members to and from Health First Colorado provider service locations that are enrolled to provide the service the member is transported to receive. Wheelchair Van 7 What are the CPT codes for ambulance transportation? The series of local procedure codes used to bill for mobility van services (X6022-X6030) are no longer available. Listed below are place of service codes and descriptions. The selection of codes is based on the patients condition at the time of transport as well as services rendered. PDF Transportation Services Codes - Indiana Medicaid Enter code R68.89 for all claims. Transportation provided without authorization from the SDE or provider, or their designee, will not be reimbursed or paid. There are various types of CPT codes: Category I: These codes have descriptors that correspond to a procedure or service. Location, distinct from a hospital emergency room, an office, or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention. Updates based on Colorado iC Stage II Provider Billing Manual Comment Log v0_2.xlsx, Updates based on Colorado iC Stage Provider Billing Manual Comment Log v0_3.xlsx, Updates based on Colorado iC Stage Provider Billing Manual Comment Log v0_4.xlsx, Updates based on Department 1/20/2017 approval email. These transfers can include transportation of people who are experiencing a mental health or substance use disorder crisis. This generally takes place in a mass immunization setting, such as, a public health center, pharmacy, or mall but may include a physician office setting. Enter a Melbet promo code and get a generous bonus, An Insight into Coupons and a Secret Bonus, Organic Hacks to Tweak Audio Recording for Videos Production, Bring Back Life to Your Graphic Images- Used Best Graphic Design Software, New Google Update and Future of Interstitial Ads. Mobility/ambulatory vehicle providers must have, and maintain one of the following PUC licenses, or be determined exempt by PUC statutes: Providers must provide services in compliance with PUC licensure and state and federal laws. The member is a child or an at-risk adult, and is unable to make personal/medical determinations or provide necessary self-care as certified in writing by the member's attending Medicaid enrolled provider. All NEMT air ambulance trips must be prior approved by the Department (See Prior Authorization). lock Changed the name to NEMT Billing Manual. an NEMT provider. Enter the diagnosis code reference letter (A-L) that relates the date of service and the procedures performed to the primary diagnosis. PDF 2 Ambulance Services - TMHP Now, lets look at some modifiers as these modifiers are two characters that represent origin and destination, and they are designed to show first the origin and second the destination: Some of the modifiers for Ambulance Transportation, D Diagnostic or therapeutic site excluded P or H when these are used as origin codes, E- Residential, domiciliary, custodial facility excluded 1819 facility, X Intermediate stop at physicians office along the way to the hospital, Some second modifiers for Ambulance Transportation. Stretcher van service is a Health First Colorado benefit when the member's medical professional indicates, in writing, the member must be transported in a prone or supine position and they are unable to use less costly modes of NEMT services (e.g., mileage reimbursement, bus tickets). CPT codes are not. When billing for one member taking multiple trips in the same day with different rendering providers, modifier 77 must be used. Providers must be enrolled as a Health First Colorado provider in order to: Providers should refer to the Code of Colorado Regulations (CCR), Program Rules (10 CCR 2505-10), for specific information when providing NEMT services. Our resources for providers explain important guidelines such as the difference between emergency and non-emergency medical transportation, accepted types of transportation, the types of transportation service delivery systems, and driver and vehicle acceptance criteria.