File 3 - Skilled Nursing Facility (SNF) Provider and 									
Supplier Coding File									
"Effective for claims submitted on or after January 1, 2010."									
									
Ambulance Services									
Beneficiary in a Part A Covered Stay									
									
These are ambulance codes that will always be denied by the Part B Medicare carrier for Medicare									
beneficiaries in a SNF Part A covered stay when submitted with the NN modifier.  There are 									
additional situations in which ambulance services are consolidated. 									
									
CPT only copyright 2009 American Medical Association. All rights reserved. CPT is a registered									
trademark of the American Medical Association. Applicable FARS/DFARS Restrictions Apply to 									
"Government Use. Fee schedules, relative value units, conversion factors and/or related "									
"components are not assigned by the AMA, are not part of CPT, and the AMA is not "									
recommending their use. The AMA does not directly or indirectly practice medecine or dispense									
medical services. The AMA assumes no liability for data contained or not contained herein.									
									
Code	Short Descriptor								
A0425	Ground mileage	Carrier will not pay with NN modifier							
A0426	Als 1	Carrier will not pay with NN modifier							
A0427	ALS1-emergency	Carrier will not pay with NN modifier							
A0428	Bls	Carrier will not pay with NN modifier							
A0429	BLS-emergency	Carrier will not pay with NN modifier							
A0430	Fixed wing air transport	Carrier will not pay with NN modifier							
A0431	Rotary wing air transport	Carrier will not pay with NN modifier							
A0432	PI volunteer ambulance co	Carrier will not pay with NN modifier							
A0433	Als 2	Carrier will not pay with NN modifier							
A0434	Specialty care transport	Carrier will not pay with NN modifier							
A0435	Fixed wing air mileage	Carrier will not pay with NN modifier							
A0436	Rotary wing air mileage	Carrier will not pay with NN modifier							
A0999	Unlisted ambulance service	Carrier will not pay with NN modifier							
									
CPT only copyright 2009 American Medical Association. All rights reserved. CPT is a registered									
trademark of the American Medical Association. Applicable FARS/DFARS Restrictions Apply to 									
"Government Use. Fee schedules, relative value units, conversion factors and/or related "									
"components are not assigned by the AMA, are not part of CPT, and the AMA is not "									
recommending their use. The AMA does not directly or indirectly practice medecine or dispense									
medical services. The AMA assumes no liability for data contained or not contained herein.									
									
									
									
