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.


  • 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


  • Continued
  • 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
  • A4206

    Syringe with needle, sterile, 1 cc or less, each
  • A4207

    Syringe with needle, sterile 2 cc, each
  • A4208

    Syringe with needle, sterile 3 cc, each
  • A4209

    Syringe with needle, sterile 5 cc or greater, each
  • A4210

    Needle-free injection device, each
  • A4211

    Supplies for self-administered injections
  • A4212

    Non-coring needle or stylet with or without catheter
  • A4213

    Syringe, sterile, 20 cc or greater, each
  • A4215

    Needle, sterile, any size, each