HCPCS A0429 Fee Schedule
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
| Key Fact | Detail |
|---|---|
| Service Type | • Ambulance and Other Transport Services and Supplies |
| Complexity Level | Moderate |
National average reimbursement for HCPCS A0429 by major payers:
$472.40
$382.35
$259.68
$378.62
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS A0429 | ||||||
United | A0429 | $415.51 | 1437602356 - LAURA BARRY | 831002191 - TEMPLE FACULTY PRACTICE PLAN INC | PA | Anatomic Pathology & Clinical Pathology Physician (207ZP0102X) |
United | A0429 | $399.52 | 1184678989 - VAISHALI NAIK | 232664784 - (PA) ALBERT EINSTEIN HEALTHCARE NETWORK | PA | Anesthesiology Physician (207L00000X) |
United | A0429 | $2297.78 | 1780046276 - KATE PETTY | 943281663 | CA | Anesthesiology Physician (207L00000X) |
United | A0429 | $707.90 | 1538470091 - FLOWER AUSTIN | 853365316 - (IA) GRANDVIEW ANESTHESIA PC | PA | Anesthesiology Physician (207L00000X) |
United | A0429 | $364.76 | 1144649989 - LAURA GERSHON | 251838458 - HIGHMARK HEALTH | PA | Anesthesiology Physician (207L00000X) |
United | A0429 | $364.76 | 1881859247 - BHAWANA RATHORE | 251838458 - HIGHMARK HEALTH | CT | Diagnostic Radiology Physician (2085R0202X) |
United | A0429 | $856.69 | 1053730531 - POOJA O'NEIL | 520595110 - JOHNS HOPKINS UNIVERSITY | PA | Anesthesiology Physician (207L00000X) |
United | A0429 | $239.72 | 1528403334 - PENN TONG | 474575700 | PA | Diagnostic Radiology Physician (2085R0202X) |
United | A0429 | $373.83 | 1578505459 - RICHARD COOK | 232919472 - UPMC | PA | Emergency Medicine Physician (207P00000X) |
United | A0429 | $399.52 | 1144294851 - HIMA PRABHAKAR | 232743545 | PA | Diagnostic Radiology Physician (2085R0202X) |
United | A0429 | $239.72 | 1982695060 - DANIEL WILLIAMS | 204721272 | PA | Anesthesiology Physician (207L00000X) |
United | A0429 | $415.51 | 1417417122 - TOLULOPE OYETUNDE | 831002191 - TEMPLE FACULTY PRACTICE PLAN INC | PA | Anesthesiology Physician (207L00000X) |
United | A0429 | $373.83 | 1578184875 - RACHEL IBRAHIM | 232919472 - UPMC | PA | Emergency Medicine Physician (207P00000X) |
United | A0429 | $772.08 | 1871567685 - GARY BATOK | 236291113 - GEISINGER CLINIC | PA | Emergency Medicine Physician (207P00000X) |
United | A0429 | $503.52 | 1407119803 - DAVID NEWMAN | 910568304 - (WA) GRAYS HARBOR COMMUNITY HOSPITAL | PA | Emergency Medicine Physician (207P00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS A0429 vs. Other Ambulance and Other Transport Services and Supplies Codes
The HCPCS A0429 code is part of the Ambulance and Other Transport Services and Supplies services . It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A0429 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A0428-HCPCS | Moderate | Ambulance service, basic life support, non-emergency transport, (BLS) |
| A0429-HCPCS | Moderate | Ambulance service, basic life support, emergency transport (BLS-emergency) |
| A0430-HCPCS | High | Ambulance service, conventional air services, transport, one way (fixed wing) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A0429. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A0429 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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