This section covers a wide variety of medical and surgical supplies, as well as some DME-related supplies and accessories. Medicare generally covers DME-related supplies, accessories, maintenance, and repair under the prosthetic devices provision.

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• A0021

  Ambulance service, outside state per mile, transport (medicaid only)

• A0080

  Non-emergency transportation, per mile - vehicle provided by volunteer (individual or organization), with no vested interest

• A0090

  Non-emergency transportation, per mile - vehicle provided by individual (family member, self, neighbor) with vested interest

• A0100

  Non-emergency transportation; taxi

• A0110

  Non-emergency transportation and bus, intra or inter state carrier

• A0120

  Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems

• A0130

  Non-emergency transportation: wheelchair van

• A0140

  Non-emergency transportation and air travel (private or commercial) intra or inter state

• A0160

  Non-emergency transportation: per mile - case worker or social worker

• A0170

  Transportation ancillary: parking fees, tolls, other

• A0180

  Non-emergency transportation: ancillary: lodging-recipient

• A0190

  Non-emergency transportation: ancillary: meals-recipient

• A0200

  Non-emergency transportation: ancillary: lodging escort

• A0210

  Non-emergency transportation: ancillary: meals-escort

• A0225

  Ambulance service, neonatal transport, base rate, emergency transport, one way

• A0380

  Bls mileage (per mile)

• A0382

  Bls routine disposable supplies

• A0384

  Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances)

• A0390

  Als mileage (per mile)

• A0392

  Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances)

• A0394

  Als specialized service disposable supplies; iv drug therapy

• A0396

  Als specialized service disposable supplies; esophageal intubation

• A0398

  Als routine disposable supplies

• A0420

  Ambulance waiting time (als or bls), one half (1/2) hour increments

• A0422

  Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation

• A0424

  Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review)

• A0425

  Ground mileage, per statute mile

• A0426

  Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)

• A0427

  Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency)

• A0428

  Ambulance service, basic life support, non-emergency transport, (bls)

• A0429

  Ambulance service, basic life support, emergency transport (bls-emergency)

• A0430

  Ambulance service, conventional air services, transport, one way (fixed wing)

• A0431

  Ambulance service, conventional air services, transport, one way (rotary wing)

• A0432

  Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers

• A0433

  Advanced life support, level 2 (als 2)

• A0434

  Specialty care transport (sct)

• A0435

  Fixed wing air mileage, per statute mile

• A0436

  Rotary wing air mileage, per statute mile

• A0888

  Noncovered ambulance mileage, per mile (e.g., for miles traveled beyond closest appropriate facility)

• A0998

  Ambulance response and treatment, no transport

• A0999

  Unlisted ambulance service

• A2001

  Innovamatrix ac, per square centimeter (add-on, list separately in addition to primary procedure)

• A2002

  Mirragen advanced wound matrix, per square centimeter (add-on, list separately in addition to primary procedure)

• A2004

  Xcellistem, 1 mg

• A2005

  Microlyte matrix, per square centimeter (add-on, list separately in addition to primary procedure)

• A2006

  Novosorb synpath dermal matrix, per square centimeter (add-on, list separately in addition to primary procedure)

• A2007

  Restrata, per square centimeter (add-on, list separately in addition to primary procedure)

• A2008

  Theragenesis, per square centimeter (add-on, list separately in addition to primary procedure)

• A2009

  Symphony, per square centimeter (add-on, list separately in addition to primary procedure)

• A2010

  Apis, per square centimeter (add-on, list separately in addition to primary procedure)

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HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

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