Question 1

What is HCPCS code A0435?

Accepted Answer

HCPCS code A0435 is "Fixed wing air mileage". Fixed wing air mileage, per statute mile

Question 2

What category is A0435 in?

Accepted Answer

A0435 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A0435?

Accepted Answer

Use A0435 when billing for fixed wing air mileage. 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 A0435 covered by Medicare?

Accepted Answer

Coverage for A0435 (Fixed wing air mileage) 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 A0435?

Accepted Answer

Documentation for A0435 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).