Search all medical codes

Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)

HCPCS code

Name of the Procedure:

Common name(s): Ambulance Transport, ALS 1 Medical term: Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (A0426)


Ambulance Service, Advanced Life Support, Non-Emergency Transport, Level 1 (ALS 1) involves transporting a patient who requires advanced life support (ALS) by an ambulance crew trained to provide a higher level of medical care than basic life support. This is a scheduled, non-emergency service designed for patients who need clinical monitoring or specific medical interventions during transportation to a healthcare facility.


Medical conditions addressed:

  • For patients needing regular medical monitoring during transport
  • Patients requiring specific ALS procedures or medications

Goals/expected outcomes:

  • Safe transportation of patients with medical needs
  • Continuous monitoring and readiness to administer advanced medical support during transit


Symptoms or conditions warranting the procedure:

  • Stable patients with chronic medical conditions requiring ALS interventions
  • Patients transferring between healthcare facilities needing ALS
  • Individuals who might require clinical monitoring and administration of medications during transport

Patient criteria:

  • Patients assessed by a healthcare provider to need ALS
  • Patients whose condition, while not currently life-threatening, necessitates advanced medical support during transport


Patient instructions:

  • Ensure any relevant medical records and medications are brought along
  • Follow any specific instructions provided by healthcare providers, such as medication adjustments

Pre-procedure tests/assessments:

  • Medical history review and current health status assessment
  • Any required laboratory tests or diagnostics as prescribed by a physician

Procedure Description

  1. Preparation:
    • Ambulance crew confirms transport details and patient medical information.
    • Patient is placed on a stretcher and secured safely in the ambulance.
  2. Transport Process:
    • Continuous monitoring of vital signs (e.g., heart rate, blood pressure, oxygen levels).
    • Administration of ALS interventions as needed (e.g., IV fluids, medications).
  3. Arrival at Destination:
    • Patient transferred safely to the receiving healthcare facility or designated location.
    • Transfer of care completed with detailed handover to healthcare providers.


  • ALS ambulances equipped with advanced medical devices (e.g., cardiac monitors, IV pumps, medications)


  • Typically not required for non-emergency transport


  • The duration varies based on the distance and specific needs of the patient, but typically ranges from 30 minutes to a few hours.


  • Ambulance Services
  • Transfer between healthcare facilities or medical centers


  • Emergency Medical Technicians (EMTs) or Paramedics
  • Additional medical staff if required based on patient’s condition

Risks and Complications

Common risks:

  • Minor discomfort from transportation

Rare risks:

  • Complications related to the patient's underlying medical condition
  • Potential adverse reactions to medications administered

Management of complications:

  • Immediate medical intervention by trained ALS staff


Expected benefits:

  • Safe and medically supervised transportation
  • Immediate availability of ALS during transit, ensuring patient stability

Realization of benefits:

  • Immediate upon use of the service


Post-procedure care:

  • Follow continuation of care instructions provided by the healthcare facility upon arrival

Recovery time:

  • No recovery period from the transport itself, recovery pertains to the underlying condition


  • Follow-up appointments as per treating physician or healthcare provider’s instructions


Other options:

  • Basic Life Support (BLS) Transportation
  • Non-medical transport services for patients who do not require medical supervision


  • BLS is less equipped for advanced medical needs, suitable only for stable patients.
  • Non-medical transport lacks any clinical support and is inappropriate for patients needing medical interventions.

Patient Experience

During procedure:

  • Patients can expect monitoring and interaction with medical staff.
  • Comfort is maintained with minimal movement, secured on a stretcher.

After procedure:

  • Continued care at the destination healthcare facility
  • Instructions provided for ongoing care and any next steps

Pain management/Comfort measures:

  • Ensuring comfort through proper positioning and securing on the stretcher
  • Pain management medications as prescribed

Medical Policies and Guidelines for Ambulance service, advanced life support, non-emergency transport, level 1 (als 1)

Related policies from health plans

Similar Codes