Name of the Procedure:

Ambulance Waiting Time (ALS or BLS), One Half (1/2) Hour Increments

Summary

This procedure involves billing for the time an ambulance has to wait to either pick up a patient or to stay on standby during a patient's transfer or at their destination. It can be billed for both Advanced Life Support (ALS) and Basic Life Support (BLS) services.

Purpose

The medical conditions or problems it addresses. The goals or expected outcomes of the procedure.

This billing code is used to cover the costs associated with the time ambulances need to be on standby, ensuring that patient care is continuous and that emergency transportation is readily available when needed.

Indications

• Transporting critically ill patients who need constant monitoring.
• Situations where the ambulance crew needs to wait for patient stabilization or transfer to different care facilities.
• Medical emergencies requiring multiple phases of patient handling within the same emergency response.

Preparation

• No specific preparation is needed from the patient for this billing code.
• The ambulance team must ensure that all required medical equipment is prepared for the patient’s needs during the waiting period.

Procedure Description

• The ambulance team arrives at the pick-up location or stay at a medical facility.
• The time spent waiting is documented in half-hour increments.
• Nurses, paramedics, or EMTs monitor the patient (if the patient is present) and maintain readiness to provide emergency care.

• The necessary ambulance equipment remains on standby, ready for immediate use.

  Duration

• This is billed in half-hour increments. The exact duration varies depending on the patient’s situation or transport logistics.

Setting

• The setting can include hospitals, nursing homes, clinics, or any location where patient transfer is required.

Personnel

• Emergency Medical Technicians (EMTs)
• Paramedics
• Advanced Life Support (ALS) personnel for severe cases

Risks and Complications

• Minimal direct risks to the patient, as it involves waiting time.
• Indirect risks could include delays in patient care if the waiting time is not appropriately managed.

Benefits

• Ensures continuous medical monitoring for patients who might deteriorate without immediate care.
• Provides flexibility in managing complex patient transport scenarios.
• Enhances patient safety during transit phases.

Recovery

• No specific recovery needed for the patient for the procedure itself.
• The patient should follow the care plan for their underlying medical conditions.

Alternatives

• Non-emergency transport services, though they may not provide the same level of medical care.
• In-hospital monitoring and stabilization before and after transport, if possible.

Patient Experience

• The patient might feel reassured knowing professional medical help is on standby.

• Comfort measures include constant monitoring and attending to immediate medical needs as required during the waiting period.

  By ensuring efficient documentation and billing under this procedure, healthcare providers can optimize resource allocation and deliver high-quality emergency medical services.