Summary
This is a reissue with no substantive changes to MA12.007b Air Ambulance Services. The policy was rereviewed on 09/03/2025 per annual review process and remains effective 01/01/2024 for New Jersey Medicare Advantage plans. No billing codes, coverage criteria, or reimbursement rates have been modified.
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What to do
Action · 4 steps
01No immediate action required.
02This is a routine annual policy reissue with no changes to coverage criteria, billing codes, or reimbursement guidelines.
03Billing team should confirm that current workflows for air ambulance claims (codes A0430, A0431, A0435, A0436) continue to follow existing emergency transport medical necessity criteria.
04Verify that claims are properly documented with diagnosis codes supporting emergency transport eligibility.
Codes mentioned
93005A0430A0431A0435A0436A0382
Original notice
MA12.007b, Air Ambulance Services
medpolicy.ibx.com · Always check the source before changing claims.