Bill all ambulance services by pickup ZIP code

Effective Oct. 15, 2016, all ambulance claims — ground, air or boat — must be reported with a point of pickup ZIP code. Claims reported without the required ZIP code will be denied.

This ZIP code reporting policy doesn’t alter the current policy for air ambulance reporting. Air ambulance must be billed to the Blue plan based on the point of pickup. Please see the May 2015 air ambulance Record article for additional information.

When reporting ambulance services on electronic facility institutional claim 837I:

Report value code A0 in Loop 2300, HI Segment with a BE qualifier.

When reporting ambulance services on electronic professional claim 837P:

Report entire Loop 2310E for pickup location.
Report entire Loop 2310F for drop-off location.

If you have questions about a claim, contact Provider Inquiry.

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*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2015 American Medical Association. All rights reserved.