New Coverage Code for Ambulance Response and Treatment

Effective Nov. 1, 2023, ambulance providers may receive reimbursement from NC Medicaid when they treat and stabilize a beneficiary at the scene.

Effective Nov. 1, 2023, NC Medicaid is adding coverage for HCPCS code A0998 (Ambulance response and treatment, no transport). This will allow ambulance providers to treat and stabilize a beneficiary at the scene and receive reimbursement when that service does not result in transport from the scene. A0998 should only be billed with origin/destination ambulance modifier combination SS (Scene to Scene) or RR (Residence to Residence).  

Contact

NC Medicaid Contact Center, 888-245-0179 

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