MedicaidBilling CodesMedium impact
Emergency Transporation Billing Changes
Kentucky Medicaid·KY · Emergency Medicine·Coding
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Kentucky Medicaid now allows EMS providers to bill for treatment without transport using HCPCS A0998 ($82.50) and for alternative destination transports using HCPCS A0429/A0425 ($82.50 base + $2.50/mile). These new billable services expand reimbursement opportunities for emergency transportation providers.
Action Required
Immediately: EMS billing teams must update billing systems to include new HCPCS codes A0998 for treatment-in-place services ($82.50), A0429 for BLS base alternative destination transport ($82.50), and A0425 for BLS mileage alternative destination transport ($2.50/mile). Update encounter forms and train staff on new billable scenarios. Note that mileage cannot be billed with treatment-in-place services.