A0425 Ground mileage, per statute mile

HCPCS code

# Ground Mileage, Per Statute Mile (A0425)

#### Name of the Procedure:
- Common Name: Ground Ambulance Mileage
- Technical/Medical Term: Ground transportation mileage charge

#### Summary
Ground mileage, per statute mile (A0425), refers to the cost incurred for each mile traveled by a ground ambulance. This charge is billed to cover the transportation of a patient from one location to another, typically in emergency or medically necessary non-emergency scenarios.

#### Purpose
This billing code specifically addresses the costs associated with the actual distance traveled during ground ambulance transportation. The primary goal is to ensure patients have access to essential medical transportation when needed.

#### Indications
- Emergency medical conditions requiring immediate transportation to a healthcare facility.
- Non-emergency situations where a physician has determined that transportation by other means is not advisable.
- Patient transfers between medical facilities for specialized care.

#### Preparation
- Pre-procedure instructions are not applicable as this is a transportation service.
- Necessary diagnostic tests or assessments would be based on the patient's underlying medical condition.

#### Procedure Description
1. Patient, upon requiring medical transport, is assessed by medical personnel.
2. If ground ambulance is deemed necessary, transportation is arranged.
3. The patient is carefully loaded into the ambulance, ensuring their medical needs are managed during transit.
4. Equipment such as stretchers, oxygen tanks, and monitoring devices may be used based on the patient's condition.
5. Transport is initiated, and mileage is logged starting from the point of pick-up to the destination.
6. Experienced medical personnel monitor the patient throughout the journey.

#### Duration
The duration varies significantly depending on the distance between the pick-up location and the destination. 

#### Setting
Ground ambulance transportation is performed wherever necessary, including homes, accident scenes, and healthcare facilities.

#### Personnel
- Emergency Medical Technicians (EMTs)
- Paramedics
- Ambulance Drivers

#### Risks and Complications
Risks are generally low but may include:
- Potential for delays due to traffic or road conditions.
- Complications related to the patient's medical condition during transit.

#### Benefits
- Provides timely access to healthcare facilities.
- Ensures medically supervised transportation, critical for patient safety.
- Benefits are realized immediately as it facilitates emergency and necessary patient transport.

#### Recovery
There is no recovery process associated with the transportation itself. Post-transport, patients continue with their primary medical care as needed.

#### Alternatives
- Air ambulance services, for longer distances or areas difficult to access by road.
- Non-emergency medical transportation services (NEMT), for non-critical medical appointments.
- Pros and Cons: Air ambulances are faster but more costly. NEMT services are appropriate for non-emergency situations but lack emergency medical support.

#### Patient Experience
Patients may feel anxiety related to their medical condition or transport situation. Comfort measures such as pain management and reassurance by medical personnel are taken to minimize discomfort.

Medical Policies and Guidelines for Ground mileage, per statute mile

Related policies from health plans

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