Improve health care equity, access and outcomes for the people we serve while saving Coloradans money on health care and driving value for Colorado. Mobility/Ambulatory vehicle services are transportation services provided to individuals who are not wheelchair confined. (This code is available for use effective January 1, 2013 but no later than May 1, 2013), A portion of an off-campus hospital provider based department which provides diagnostic, therapeutic (both surgical and nonsurgical), and rehabilitation services to sick or injured persons who do not require hospitalization or institutionalization. A mobility/ambulatory vehicle is a passenger-carrying vehicle for hire, including those designed, constructed, modified or equipped to meet the needs of passengers with medical, physical or mobility impairments and, when medically necessary, their certified escorts. CPT overview and code approval - American Medical Association Medicare typically does not pay the cost of non-emergency medical transportation (NEMT) unless it occurs under specific circumstances. NEMT Regulations can be found in 10 CCR 2505-10 8.014. Administration of intravenous (IV) medication en route shall not include self-administered IV medications. A facility, other than a patient's home, in which palliative and supportive care for terminally ill patients and their families are provided. Ambulance Transportation : CPT Codes and Modifiers Urgent NEMT is transportation needed to receive necessary medical services when a member is unable to provide advanced notice. CPT Codes | American Medical Association Wheelchair Van Moreover, coding and billing are strictly based on this recorded documentation, so the documentation must be complete and accurate. The SDE will request the required documentation and submit to the Department for review and decision. PDF Medical Transportation - Ground A short term accommodation such as a hotel, camp ground, hostel, cruise ship or resort where the patient receives care, and which is not identified by any other POS code. The following modes of transportation are covered: Ancillary services may also be covered. Free 2023 HCPCS Codes List - HCPCSData.com (Effective January 1, 2016). Meals and lodging are limited to one unit per day each, per member or escort. In this case, the taxi company agrees to the Health First Colorado reimbursement for mobility /ambulatory vehicles. The Department clarified this in the October 2017 Provider Bulletin. The decision will be communicated to the SDE. Services include physical therapy, occupational therapy, speech pathology, social or psychological services, and orthotics and prosthetics services. A land vehicle specifically designed, equipped and staffed for lifesaving and transporting the sick or injured. This is a change to current processes where facilities and transportation vendors work with the State Designated Entity. The following paper form reference table shows required, optional, and conditional fields and detailed field completion instructions for the EPSDT claim form. The provider may only bill the member for services not covered by Health First Colorado. How to apply for a CPT Code Member Contact Center1-800-221-3943/State Relay: 711. https:// Transportation to/from non-covered medical services, including services that do not qualify due to coverage limitations. Span billing is not allowed for transportation services. Codes and Rates Ground medical transportation services are reimbursed as listed below. endobj https:// (Description change effective January 1, 2022, and applicable for Medicare April 1, 2022.). Non-emergency transportation: wheelchair van. Transportation to receive Home and Community Based Services (HCBS) must be provided through Non-Medical Transportation (NMT). The SDE explores and utilizes the least costly, medically-appropriate means of transportation for each member and arranges those transportation services. Mileage shall be paid for the shortest trip length in miles as determined by an internet-based map, trip planner, or other Global Positioning System (GPS). Enter an "N" or leave blank for NO in the bottom, unshaded area of the field to indicate the service was non-emergent medical transportation. A taxicab service means passenger transportation by a common carrier on a call-and-demand basis in a taxicab, with the first passenger therein having exclusive use of the taxicab unless such passenger agrees to multiple loading. Manual revised for interChange implementation. (Description change effective January 1, 2016). Transportation which is covered by another entity (e.g., transportation provided by the Veterans Administration or a school). 1 What is the CPT code for non-emergency transportation? Non-Emergent Medical Transportation (NEMT) Billing Manual IntelliRide is the Departments State Designated Entity as its contracted NEMT broker. Service (procedure) code: Reflects the NEMT transport service provided or reimbursed as indicated in the following tables.

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