Question 1

What is HCPCS code A0431?

Accepted Answer

HCPCS code A0431 is "Rotary wing air transport". Ambulance service, conventional air services, transport, one way (rotary wing)

Question 2

What category is A0431 in?

Accepted Answer

A0431 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A0431?

Accepted Answer

Use A0431 when billing for rotary wing air transport. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is A0431 covered by Medicare?

Accepted Answer

Coverage for A0431 (Rotary wing air transport) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for A0431?

Accepted Answer

Documentation for A0431 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).