Medicare Covered and Non covered services for Ambualnce service

Coding Information - Ambulance Services

 

CPT/HCPCS Codes

Italicized and/or quoted material is excerpted from the American Medical Association, Current Procedural Terminology (CPT) codes.

A0425	GROUND MILEAGE, PER STATUTE MILE
A0426	AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, NON-EMERGENCY TRANSPORT, LEVEL 1 (ALS 1)
A0427	AMBULANCE SERVICE, ADVANCED LIFE SUPPORT, EMERGENCY TRANSPORT, LEVEL 1 (ALS1-EMERGENCY)
A0428	AMBULANCE SERVICE, BASIC LIFE SUPPORT, NON-EMERGENCY TRANSPORT, (BLS)
A0429	AMBULANCE SERVICE, BASIC LIFE SUPPORT, EMERGENCY TRANSPORT (BLS-EMERGENCY)
A0433	ADVANCED LIFE SUPPORT, LEVEL 2 (ALS 2)
A0434	SPECIALTY CARE TRANSPORT (SCT)

The following CPT/HCPCS code is Non-Covered:

A0888	NONCOVERED AMBULANCE MILEAGE, PER MILE (E.G., FOR MILES TRAVELED BEYOND CLOSEST APPROPRIATE FACILITY)

ICD-9 Codes that Support Medical Necessity

The presence of a certain diagnosis code, while not dispositive of the medical necessity of the transport, is suggestive of such medical necessity.  All the diagnostic codes that do not appear on the list are indicative of the contractor's presumption that the transport was not medically necessary.
Claims with a listed diagnosis are still subject to pre- and post-payment review and may be denied in whole or in part if the provider or supplier's documentation does not support medical necessity or if other information available to the contractor indicates that the transport in question was not medically necessary.
This guidance does not imply or direct that the ambulance personnel on the scene must determine a patient's "diagnosis". Report the ICD-9-CM code that most accurately represents the sign(s) and/or symptom(s) exhibited by the patient and observed by the ambulance personnel on the scene.

Medical necessity and coverage of ambulance services are not based solely on the presence of a specific diagnosis.
Medicare payment for ambulance transportation may be made only for those patients whose condition at the time of transport is such that ambulance transportation is necessary. For example, it is insufficient that a patient merely has a diagnosis such as pneumonia, stroke or fracture to justify ambulance transportation. In each of those instances, the condition of the patient must be such that transportation by any other means is medically contraindicated. In the case of ambulance transportation, the condition necessitating transportation is often that an accident or injury has occurred giving rise to a clinical suspicion that a specific condition exists (for instance, fractures may be strongly suspected based on clinical examination and history of a specific injury).
Reporting ambulance services using a code from the list below certifies to Medicare that the ambulance provider believes the code description reasonably reflects the condition of the patient at the time of transport and that the patient’s condition was consistent with the requirements of the Medicare ambulance transportation benefit. The contractor recognizes that prior to the effective date of this policy, ambulance suppliers were not required to submit ICD-9-CM codes on their claims if filing on a 1500 claim form or utilizing an electronic version other than the 5010 version of the 837P. The CPT/HCPCS codes included in this LCD will be subjected to “procedure to diagnosis” editing. The following lists include only those diagnoses for which the identified CPT/HCPCS procedures are covered. If a claim contains one or more ICD-9-CM diagnoses but a covered diagnosis code is not on the claim, the edit will deny the service. It is expected that ambulance transportation from acute care facilities will not routinely be reported with the same diagnosis codes reported for the emergent visit to the facility.
For HCPCS codes A0425, A0426, A0427, A0428, A0429, A0433 and A0434:
Covered for Ambulance Transportation Services to the Site of Medical Care:

036.9	MENINGOCOCCAL INFECTION UNSPECIFIED
041.9*	BACTERIAL INFECTION UNSPECIFIED IN CONDITIONS CLASSIFIED ELSEWHERE AND OF UNSPECIFIED SITE
191.9	MALIGNANT NEOPLASM OF BRAIN UNSPECIFIED SITE
199.1 - 199.2	OTHER MALIGNANT NEOPLASM OF UNSPECIFIED SITE - MALIGNANT NEOPLASM ASSOCIATED WITH TRANSPLANT ORGAN
250.02 - 250.03	DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES MELLITUS WITHOUT MENTION OF COMPLICATION, TYPE I [JUVENILE TYPE], UNCONTROLLED
250.12 - 250.13	DIABETES WITH KETOACIDOSIS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH KETOACIDOSIS, TYPE I [JUVENILE TYPE], UNCONTROLLED
250.22 - 250.23	DIABETES WITH HYPEROSMOLARITY, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH HYPEROSMOLARITY, TYPE I [JUVENILE TYPE], UNCONTROLLED
250.32 - 250.33	DIABETES WITH OTHER COMA, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH OTHER COMA, TYPE I [JUVENILE TYPE], UNCONTROLLED
250.52 - 250.53	DIABETES WITH OPHTHALMIC MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH OPHTHALMIC MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED
250.62 - 250.63	DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH NEUROLOGICAL MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED
250.72 - 250.73	DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE II OR UNSPECIFIED TYPE, UNCONTROLLED - DIABETES WITH PERIPHERAL CIRCULATORY DISORDERS, TYPE I [JUVENILE TYPE], UNCONTROLLED
250.80 - 250.83	DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE II OR UNSPECIFIED TYPE, NOT STATED AS UNCONTROLLED - DIABETES WITH OTHER SPECIFIED MANIFESTATIONS, TYPE I [JUVENILE TYPE], UNCONTROLLED
251.0 - 251.1	HYPOGLYCEMIC COMA - OTHER SPECIFIED HYPOGLYCEMIA
276.50 - 276.52	VOLUME DEPLETION, UNSPECIFIED - HYPOVOLEMIA
291.0	ALCOHOL WITHDRAWAL DELIRIUM
291.81	ALCOHOL WITHDRAWAL
292.0	DRUG WITHDRAWAL
292.2	PATHOLOGICAL DRUG INTOXICATION
292.9	UNSPECIFIED DRUG-INDUCED MENTAL DISORDER
293.0*	DELIRIUM DUE TO CONDITIONS CLASSIFIED ELSEWHERE
293.1*	SUBACUTE DELIRIUM
298.8*	OTHER AND UNSPECIFIED REACTIVE PSYCHOSIS
298.9	UNSPECIFIED PSYCHOSIS
305.00 - 305.92	NONDEPENDENT ALCOHOL ABUSE UNSPECIFIED DRINKING BEHAVIOR - NONDEPENDENT OTHER MIXED OR UNSPECIFIED DRUG ABUSE EPISODIC USE
312.39*	OTHER DISORDERS OF IMPULSE CONTROL
379.90*	DISORDER OF EYE UNSPECIFIED
410.00 - 410.02	ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF ANTEROLATERAL WALL SUBSEQUENT EPISODE OF CARE
410.10 - 410.12	ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER ANTERIOR WALL SUBSEQUENT EPISODE OF CARE
410.20 - 410.22	ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF INFEROLATERAL WALL SUBSEQUENT EPISODE OF CARE
410.30 - 410.32	ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF INFEROPOSTERIOR WALL SUBSEQUENT EPISODE OF CARE
410.40 - 410.42	ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER INFERIOR WALL SUBSEQUENT EPISODE OF CARE
410.50 - 410.52	ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER LATERAL WALL SUBSEQUENT EPISODE OF CARE
410.60 - 410.62	TRUE POSTERIOR WALL INFARCTION EPISODE OF CARE UNSPECIFIED - TRUE POSTERIOR WALL INFARCTION SUBSEQUENT EPISODE OF CARE
410.70 - 410.72	SUBENDOCARDIAL INFARCTION EPISODE OF CARE UNSPECIFIED - SUBENDOCARDIAL INFARCTION SUBSEQUENT EPISODE OF CARE
410.80 - 410.82	ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF OTHER SPECIFIED SITES SUBSEQUENT EPISODE OF CARE
410.90 - 410.92	ACUTE MYOCARDIAL INFARCTION OF UNSPECIFIED SITE EPISODE OF CARE UNSPECIFIED - ACUTE MYOCARDIAL INFARCTION OF UNSPECIFIED SITE SUBSEQUENT EPISODE OF CARE
413.1	PRINZMETAL ANGINA
415.11	IATROGENIC PULMONARY EMBOLISM AND INFARCTION
415.13	SADDLE EMBOLUS OF PULMONARY ARTERY
415.19	OTHER PULMONARY EMBOLISM AND INFARCTION
423.3	CARDIAC TAMPONADE
426.0	ATRIOVENTRICULAR BLOCK COMPLETE
426.3	OTHER LEFT BUNDLE BRANCH BLOCK
426.4	RIGHT BUNDLE BRANCH BLOCK
426.51 - 426.54	RIGHT BUNDLE BRANCH BLOCK AND LEFT POSTERIOR FASCICULAR BLOCK - TRIFASCICULAR BLOCK
427.0 - 427.1	PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA - PAROXYSMAL VENTRICULAR TACHYCARDIA
427.31 - 427.32	ATRIAL FIBRILLATION - ATRIAL FLUTTER
427.41 - 427.42	VENTRICULAR FIBRILLATION - VENTRICULAR FLUTTER
427.5	CARDIAC ARREST
427.69	OTHER PREMATURE BEATS
427.81	SINOATRIAL NODE DYSFUNCTION
427.9*	CARDIAC DYSRHYTHMIA UNSPECIFIED
428.0 - 428.1	CONGESTIVE HEART FAILURE UNSPECIFIED - LEFT HEART FAILURE
428.20 - 428.23	UNSPECIFIED SYSTOLIC HEART FAILURE - ACUTE ON CHRONIC SYSTOLIC HEART FAILURE
428.30 - 428.33	UNSPECIFIED DIASTOLIC HEART FAILURE - ACUTE ON CHRONIC DIASTOLIC HEART FAILURE
428.40 - 428.43	UNSPECIFIED COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE - ACUTE ON CHRONIC COMBINED SYSTOLIC AND DIASTOLIC HEART FAILURE
428.9*	HEART FAILURE UNSPECIFIED
431	INTRACEREBRAL HEMORRHAGE
434.00 - 434.01	CEREBRAL THROMBOSIS WITHOUT CEREBRAL INFARCTION - CEREBRAL THROMBOSIS WITH CEREBRAL INFARCTION
434.10 - 434.11	CEREBRAL EMBOLISM WITHOUT CEREBRAL INFARCTION - CEREBRAL EMBOLISM WITH CEREBRAL INFARCTION
434.90 - 434.91	CEREBRAL ARTERY OCCLUSION UNSPECIFIED WITHOUT CEREBRAL INFARCTION - CEREBRAL ARTERY OCCLUSION UNSPECIFIED WITH CEREBRAL INFARCTION
435.9	UNSPECIFIED TRANSIENT CEREBRAL ISCHEMIA
436	ACUTE BUT ILL-DEFINED CEREBROVASCULAR DISEASE
438.0	COGNITIVE DEFICITS
438.20 - 438.22	HEMIPLEGIA AFFECTING UNSPECIFIED SIDE - HEMIPLEGIA AFFECTING NONDOMINANT SIDE
438.40 - 438.42	MONOPLEGIA OF LOWER LIMB AFFECTING UNSPECIFIED SIDE - MONOPLEGIA OF LOWER LIMB AFFECTING NONDOMINANT SIDE
451.11	PHLEBITIS AND THROMBOPHLEBITIS OF FEMORAL VEIN (DEEP) (SUPERFICIAL)
451.19	PHLEBITIS AND THROMBOPHLEBITIS OF OTHER
458.9	HYPOTENSION UNSPECIFIED
459.0	HEMORRHAGE UNSPECIFIED
493.91 - 493.92	ASTHMA UNSPECIFIED TYPE WITH STATUS ASTHMATICUS - ASTHMA UNSPECIFIED WITH (ACUTE) EXACERBATION
496*	CHRONIC AIRWAY OBSTRUCTION NOT ELSEWHERE CLASSIFIED
514	PULMONARY CONGESTION AND HYPOSTASIS
518.4	ACUTE EDEMA OF LUNG UNSPECIFIED
518.51	ACUTE RESPIRATORY FAILURE FOLLOWING TRAUMA AND SURGERY
518.7	TRANSFUSION RELATED ACUTE LUNG INJURY (TRALI)
518.81	ACUTE RESPIRATORY FAILURE
530.3	STRICTURE AND STENOSIS OF ESOPHAGUS
536.2	PERSISTENT VOMITING
560.81	INTESTINAL OR PERITONEAL ADHESIONS WITH OBSTRUCTION (POSTOPERATIVE) (POSTINFECTION)
560.89	OTHER SPECIFIED INTESTINAL OBSTRUCTION
578.9	HEMORRHAGE OF GASTROINTESTINAL TRACT UNSPECIFIED
646.80	OTHER SPECIFIED COMPLICATIONS OF PREGNANCY UNSPECIFIED AS TO EPISODE OF CARE
707.03 - 707.05	PRESSURE ULCER, LOWER BACK - PRESSURE ULCER, BUTTOCK
707.23 - 707.24	PRESSURE ULCER, STAGE III - PRESSURE ULCER, STAGE IV
718.40 - 718.49	CONTRACTURE OF JOINT SITE UNSPECIFIED - CONTRACTURE OF JOINT OF MULTIPLE SITES
719.49*	PAIN IN JOINT INVOLVING MULTIPLE SITES
724.1	PAIN IN THORACIC SPINE
724.2	LUMBAGO
724.5	BACKACHE UNSPECIFIED
729.5	PAIN IN LIMB
729.81	SWELLING OF LIMB
780.01 - 780.03	COMA - PERSISTENT VEGETATIVE STATE
780.09	ALTERATION OF CONSCIOUSNESS OTHER
780.1 - 780.2	HALLUCINATIONS - SYNCOPE AND COLLAPSE
780.32	COMPLEX FEBRILE CONVULSIONS
780.33	POST TRAUMATIC SEIZURES
780.39	OTHER CONVULSIONS
780.60 - 780.62	FEVER, UNSPECIFIED - POSTPROCEDURAL FEVER
780.65*	HYPOTHERMIA NOT ASSOCIATED WITH LOW ENVIRONMENTAL TEMPERATURE
780.72	FUNCTIONAL QUADRIPLEGIA
780.97	ALTERED MENTAL STATUS
781.2 - 781.4*	ABNORMALITY OF GAIT - TRANSIENT PARALYSIS OF LIMB
781.6	MENINGISMUS
782.5	CYANOSIS
784.0	HEADACHE
784.3	APHASIA
785.0 - 785.1	TACHYCARDIA UNSPECIFIED - PALPITATIONS
785.4	GANGRENE
785.50 - 785.52	SHOCK UNSPECIFIED - SEPTIC SHOCK
785.59	OTHER SHOCK WITHOUT TRAUMA
786.05	SHORTNESS OF BREATH
786.09*	RESPIRATORY ABNORMALITY OTHER
786.50 - 786.52	UNSPECIFIED CHEST PAIN - PAINFUL RESPIRATION
787.01	NAUSEA WITH VOMITING
787.03	VOMITING ALONE
789.00	ABDOMINAL PAIN UNSPECIFIED SITE
789.01 - 789.07	ABDOMINAL PAIN RIGHT UPPER QUADRANT - ABDOMINAL PAIN GENERALIZED
789.09	ABDOMINAL PAIN OTHER SPECIFIED SITE
789.30 - 789.37	ABDOMINAL OR PELVIC SWELLING MASS OR LUMP UNSPECIFIED SITE - ABDOMINAL OR PELVIC SWELLING MASS OR LUMP GENERALIZED
789.39	ABDOMINAL OR PELVIC SWELLING MASS OR LUMP OTHER SPECIFIED SITE
789.40 - 789.47	ABDOMINAL RIGIDITY UNSPECIFIED SITE - ABDOMINAL RIGIDITY GENERALIZED
789.49	ABDOMINAL RIGIDITY OTHER SPECIFIED SITE
789.60 - 789.67	ABDOMINAL TENDERNESS UNSPECIFIED SITE - ABDOMINAL TENDERNESS GENERALIZED
789.69	ABDOMINAL TENDERNESS OTHER SPECIFIED SITE
796.2	ELEVATED BLOOD PRESSURE READING WITHOUT DIAGNOSIS OF HYPERTENSION
799.01 - 799.02	ASPHYXIA - HYPOXEMIA
799.1	RESPIRATORY ARREST
799.82	APPARENT LIFE THREATENING EVENT IN INFANT
803.00 - 803.06	OTHER CLOSED SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER CLOSED SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
803.09	OTHER CLOSED SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH CONCUSSION UNSPECIFIED
803.10 - 803.16	OTHER CLOSED SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER CLOSED SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
803.19	OTHER CLOSED SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH CONCUSSION UNSPECIFIED
803.20 - 803.26	OTHER CLOSED SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER CLOSED SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
803.29	OTHER CLOSED SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH CONCUSSION UNSPECIFIED
803.30 - 803.36	OTHER CLOSED SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH STATE OF UNCONSCIOUSNESS UNSPECIFIED - OTHER CLOSED SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
803.39	OTHER CLOSED SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH CONCUSSION UNSPECIFIED
803.40 - 803.46	OTHER CLOSED SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER SITE OF CLOSED SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
803.49	OTHER SITE OF CLOSED SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH CONCUSSION UNSPECIFIED
803.50 - 803.56	OTHER OPEN SKULL FRACTURE WITHOUT INJURY WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
803.59	OTHER OPEN SKULL FRACTURE WITHOUT INTRACRANIAL INJURY WITH CONCUSSION UNSPECIFIED
803.60 - 803.66	OTHER OPEN SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
803.69	OTHER OPEN SKULL FRACTURE WITH CEREBRAL LACERATION AND CONTUSION WITH CONCUSSION UNSPECIFIED
803.70 - 803.76	OTHER OPEN SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
803.79	OTHER OPEN SKULL FRACTURE WITH SUBARACHNOID SUBDURAL AND EXTRADURAL HEMORRHAGE WITH CONCUSSION UNSPECIFIED
803.80 - 803.86	OTHER OPEN SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
803.89	OTHER OPEN SKULL FRACTURE WITH OTHER AND UNSPECIFIED INTRACRANIAL HEMORRHAGE WITH CONCUSSION UNSPECIFIED
803.90 - 803.96	OTHER OPEN SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH STATE OF CONSCIOUSNESS UNSPECIFIED - OTHER OPEN SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
803.99	OTHER OPEN SKULL FRACTURE WITH INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH CONCUSSION UNSPECIFIED
805.00 - 805.08	CLOSED FRACTURE OF CERVICAL VERTEBRA UNSPECIFIED LEVEL - CLOSED FRACTURE OF MULTIPLE CERVICAL VERTEBRAE
805.10 - 805.18	OPEN FRACTURE OF CERVICAL VERTEBRA UNSPECIFIED LEVEL - OPEN FRACTURE OF MULTIPLE CERVICAL VERTEBRAE
805.2 - 805.9	CLOSED FRACTURE OF DORSAL (THORACIC) VERTEBRA WITHOUT SPINAL CORD INJURY - OPEN FRACTURE OF UNSPECIFIED PART OF VERTEBRAL COLUMN WITHOUT SPINAL CORD INJURY
806.00 - 806.09	CLOSED FRACTURE OF C1-C4 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - CLOSED FRACTURE OF C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY
806.10 - 806.19	OPEN FRACTURE OF C1-C4 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY
806.20 - 806.29	CLOSED FRACTURE OF T1-T6 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - CLOSED FRACTURE OF T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY
806.30 - 806.39	OPEN FRACTURE OF T1-T6 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY
806.4 - 806.5	CLOSED FRACTURE OF LUMBAR SPINE WITH SPINAL CORD INJURY - OPEN FRACTURE OF LUMBAR SPINE WITH SPINAL CORD INJURY
806.60 - 806.62	CLOSED FRACTURE OF SACRUM AND COCCYX WITH UNSPECIFIED SPINAL CORD INJURY - CLOSED FRACTURE OF SACRUM AND COCCYX WITH OTHER CAUDA EQUINA INJURY
806.69	CLOSED FRACTURE OF SACRUM AND COCCYX WITH OTHER SPINAL CORD INJURY
806.70 - 806.72	OPEN FRACTURE OF SACRUM AND COCCYX WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF SACRUM AND COCCYX WITH OTHER CAUDA EQUINA INJURY
806.79	OPEN FRACTURE OF SACRUM AND COCCYX WITH OTHER SPINAL CORD INJURY
806.8 - 806.9	CLOSED FRACTURE OF UNSPECIFIED VERTEBRA WITH SPINAL CORD INJURY - OPEN FRACTURE OF UNSPECIFIED VERTEBRA WITH SPINAL CORD INJURY
808.0 - 808.3	CLOSED FRACTURE OF ACETABULUM - OPEN FRACTURE OF PUBIS
808.41 - 808.43	CLOSED FRACTURE OF ILIUM - MULTIPLE CLOSED PELVIC FRACTURES WITH DISRUPTION OF PELVIC CIRCLE
808.49	CLOSED FRACTURE OF OTHER SPECIFIED PART OF PELVIS
808.51 - 808.53	OPEN FRACTURE OF ILIUM - MULTIPLE OPEN PELVIC FRACTURES WITH DISRUPTION OF PELVIC CIRCLE
808.59	OPEN FRACTURE OF OTHER SPECIFIED PART OF PELVIS
808.8 - 808.9	UNSPECIFIED CLOSED FRACTURE OF PELVIS - UNSPECIFIED OPEN FRACTURE OF PELVIS
810.10 - 810.13	OPEN FRACTURE OF CLAVICLE UNSPECIFIED PART - OPEN FRACTURE OF ACROMIAL END OF CLAVICLE
812.10 - 812.13	FRACTURE OF UNSPECIFIED PART OF UPPER END OF HUMERUS OPEN - FRACTURE OF GREATER TUBEROSITY OF HUMERUS OPEN
812.19	OTHER OPEN FRACTURE OF UPPER END OF HUMERUS
812.20 - 812.21	FRACTURE OF UNSPECIFIED PART OF HUMERUS CLOSED - FRACTURE OF SHAFT OF HUMERUS CLOSED
812.30 - 812.31	FRACTURE OF UNSPECIFIED PART OF HUMERUS OPEN - FRACTURE OF SHAFT OF HUMERUS OPEN
812.50 - 812.54	FRACTURE OF UNSPECIFIED PART OF LOWER END OF HUMERUS OPEN - FRACTURE OF UNSPECIFIED CONDYLE(S) OF HUMERUS OPEN
812.59	OTHER FRACTURE OF LOWER END OF HUMERUS OPEN
818.1	ILL-DEFINED OPEN FRACTURES OF UPPER LIMB
819.0 - 819.1	MULTIPLE CLOSED FRACTURES INVOLVING BOTH UPPER LIMBS AND UPPER LIMB WITH RIB(S) AND STERNUM - MULTIPLE OPEN FRACTURES INVOLVING BOTH UPPER LIMBS AND UPPER LIMB WITH RIB(S) AND STERNUM
820.00 - 820.03	FRACTURE OF UNSPECIFIED INTRACAPSULAR SECTION OF NECK OF FEMUR CLOSED - FRACTURE OF BASE OF NECK OF FEMUR CLOSED
820.09	OTHER TRANSCERVICAL FRACTURE OF FEMUR CLOSED
820.10 - 820.13	FRACTURE OF UNSPECIFIED INTRACAPSULAR SECTION OF NECK OF FEMUR OPEN - FRACTURE OF BASE OF NECK OF FEMUR OPEN
820.19	OTHER TRANSCERVICAL FRACTURE OF FEMUR OPEN
820.20 - 820.22	FRACTURE OF UNSPECIFIED TROCHANTERIC SECTION OF FEMUR CLOSED - FRACTURE OF SUBTROCHANTERIC SECTION OF FEMUR CLOSED
820.30 - 820.32	FRACTURE OF UNSPECIFIED TROCHANTERIC SECTION OF FEMUR OPEN - FRACTURE OF SUBTROCHANTERIC SECTION OF FEMUR OPEN
820.8 - 820.9	FRACTURE OF UNSPECIFIED PART OF NECK OF FEMUR CLOSED - FRACTURE OF UNSPECIFIED PART OF NECK OF FEMUR OPEN
821.00 - 821.01	FRACTURE OF UNSPECIFIED PART OF FEMUR CLOSED - FRACTURE OF SHAFT OF FEMUR CLOSED
821.10 - 821.11	FRACTURE OF UNSPECIFIED PART OF FEMUR OPEN - FRACTURE OF SHAFT OF FEMUR OPEN
821.20 - 821.23	FRACTURE OF LOWER END OF FEMUR UNSPECIFIED PART CLOSED - SUPRACONDYLAR FRACTURE OF FEMUR CLOSED
821.29	OTHER FRACTURE OF LOWER END OF FEMUR CLOSED
821.30 - 821.33	FRACTURE OF LOWER END OF FEMUR UNSPECIFIED PART OPEN - SUPRACONDYLAR FRACTURE OF FEMUR OPEN
821.39	OTHER FRACTURE OF LOWER END OF FEMUR OPEN
822.1	OPEN FRACTURE OF PATELLA
823.00 - 823.02	CLOSED FRACTURE OF UPPER END OF TIBIA - CLOSED FRACTURE OF UPPER END OF FIBULA WITH TIBIA
823.10 - 823.12	OPEN FRACTURE OF UPPER END OF TIBIA - OPEN FRACTURE OF UPPER END OF FIBULA WITH TIBIA
823.30 - 823.32	OPEN FRACTURE OF SHAFT OF TIBIA - OPEN FRACTURE OF SHAFT OF FIBULA WITH TIBIA
823.90 - 823.92	OPEN FRACTURE OF UNSPECIFIED PART OF TIBIA - OPEN FRACTURE OF UNSPECIFIED PART OF FIBULA WITH TIBIA
829.0	FRACTURE OF UNSPECIFIED BONE CLOSED
835.00 - 835.03	CLOSED DISLOCATION OF HIP UNSPECIFIED SITE - OTHER CLOSED ANTERIOR DISLOCATION OF HIP
835.10 - 835.13	OPEN DISLOCATION OF HIP UNSPECIFIED SITE - OTHER OPEN ANTERIOR DISLOCATION OF HIP
836.50 - 836.54	CLOSED DISLOCATION OF KNEE UNSPECIFIED PART - LATERAL DISLOCATION OF TIBIA PROXIMAL END CLOSED
836.59	OTHER DISLOCATION OF KNEE CLOSED
836.60 - 836.64	DISLOCATION OF KNEE UNSPECIFIED PART OPEN - LATERAL DISLOCATION OF TIBIA PROXIMAL END OPEN
836.69	OTHER DISLOCATION OF KNEE OPEN
839.00 - 839.08	CLOSED DISLOCATION CERVICAL VERTEBRA UNSPECIFIED - CLOSED DISLOCATION MULTIPLE CERVICAL VERTEBRAE
839.10 - 839.18	OPEN DISLOCATION CERVICAL VERTEBRA UNSPECIFIED - OPEN DISLOCATION MULTIPLE CERVICAL VERTEBRAE
839.20 - 839.21	CLOSED DISLOCATION LUMBAR VERTEBRA - CLOSED DISLOCATION THORACIC VERTEBRA
839.30 - 839.31	OPEN DISLOCATION LUMBAR VERTEBRA - OPEN DISLOCATION THORACIC VERTEBRA
839.40	CLOSED DISLOCATION VERTEBRA UNSPECIFIED SITE
839.42	CLOSED DISLOCATION SACRUM
839.50 - 839.52	OPEN DISLOCATION VERTEBRA UNSPECIFIED SITE - OPEN DISLOCATION SACRUM
839.69	CLOSED DISLOCATION OTHER LOCATION
839.71	OPEN DISLOCATION STERNUM
839.79	OPEN DISLOCATION OTHER LOCATION
839.8 - 839.9	CLOSED DISLOCATION MULTIPLE AND ILL-DEFINED SITES - OPEN DISLOCATION MULTIPLE AND ILL-DEFINED SITES
854.00 - 854.06	INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITHOUT OPEN INTRACRANIAL WOUND WITH STATE OF CONSCIOUSNESS UNSPECIFIED - INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITHOUT OPEN INTRACRANIAL WOUND WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
854.09	INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITHOUT OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED
854.10 - 854.16	INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH OPEN INTRACRANIAL WOUND WITH STATE OF CONSCIOUSNESS UNSPECIFIED - INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH OPEN INTRACRANIAL WOUND WITH LOSS OF CONSCIOUSNESS OF UNSPECIFIED DURATION
854.19	INTRACRANIAL INJURY OF OTHER AND UNSPECIFIED NATURE WITH OPEN INTRACRANIAL WOUND WITH CONCUSSION UNSPECIFIED
869.0	INTERNAL INJURY TO UNSPECIFIED OR ILL-DEFINED ORGANS WITHOUT OPEN WOUND INTO CAVITY
869.1	INTERNAL INJURY TO UNSPECIFIED OR ILL-DEFINED ORGANS WITH OPEN WOUND INTO CAVITY
870.1 - 870.4	LACERATION OF EYELID FULL-THICKNESS NOT INVOLVING LACRIMAL PASSAGES - PENETRATING WOUND OF ORBIT WITH FOREIGN BODY
871.0 - 871.7	OCULAR LACERATION WITHOUT PROLAPSE OF INTRAOCULAR TISSUE - UNSPECIFIED OCULAR PENETRATION
871.9	UNSPECIFIED OPEN WOUND OF EYEBALL
907.2*	LATE EFFECT OF SPINAL CORD INJURY
921.9	UNSPECIFIED CONTUSION OF EYE
933.1	FOREIGN BODY IN LARYNX
934.9	FOREIGN BODY IN RESPIRATORY TREE UNSPECIFIED
949.0 - 949.5	BURN OF UNSPECIFIED SITE UNSPECIFIED DEGREE - DEEP NECROSIS OF UNDERLYING TISSUES DUE TO BURN (DEEP THIRD DEGREE UNSPECIFIED SITE WITH LOSS OF A BODY PART
958.2	SECONDARY AND RECURRENT HEMORRHAGE AS AN EARLY COMPLICATION OF TRAUMA
959.01	OTHER AND UNSPECIFIED INJURY TO HEAD
959.09	OTHER AND UNSPECIFIED INJURY TO FACE AND NECK
959.11 - 959.12	OTHER INJURY OF CHEST WALL - OTHER INJURY OF ABDOMEN
959.19	OTHER AND UNSPECIFIED INJURY OF OTHER SITES OF TRUNK
959.6 - 959.9*	OTHER AND UNSPECIFIED INJURY TO HIP AND THIGH - OTHER AND UNSPECIFIED INJURY TO UNSPECIFIED SITE
977.3*	POISONING BY ALCOHOL DETERRENTS
977.9	POISONING BY UNSPECIFIED DRUG OR MEDICINAL SUBSTANCE
987.9	TOXIC EFFECT OF UNSPECIFIED GAS FUME OR VAPOR
989.5	TOXIC EFFECT OF VENOM
991.6	HYPOTHERMIA
992.5*	HEAT EXHAUSTION UNSPECIFIED
994.0 - 994.1	EFFECTS OF LIGHTNING - DROWNING AND NONFATAL SUBMERSION
994.7 - 994.8	ASPHYXIATION AND STRANGULATION - ELECTROCUTION AND NONFATAL EFFECTS OF ELECTRIC CURRENT
995.0	OTHER ANAPHYLACTIC REACTION
995.27	OTHER DRUG ALLERGY
995.29	UNSPECIFIED ADVERSE EFFECT OF OTHER DRUG, MEDICINAL AND BIOLOGICAL SUBSTANCE
995.3	ALLERGY UNSPECIFIED NOT ELSEWHERE CLASSIFIED
995.80	UNSPECIFIED ADULT MALTREATMENT
996.00*	MECHANICAL COMPLICATIONS OF UNSPECIFIED CARDIAC DEVICE IMPLANT AND GRAFT
998.30	DISRUPTION OF WOUND, UNSPECIFIED
998.32	DISRUPTION OF EXTERNAL OPERATION (SURGICAL) WOUND
998.33	DISRUPTION OF TRAUMATIC INJURY WOUND REPAIR
V07.0	NEED FOR ISOLATION
V15.6	PERSONAL HISTORY OF POISONING PRESENTING HAZARDS TO HEALTH
V15.89	OTHER SPECIFIED PERSONAL HISTORY PRESENTING HAZARDS TO HEALTH
V45.88	STATUS POST ADMINISTRATION OF TPA (RTPA) IN A DIFFERENT FACILITY WITHIN THE LAST 24 HOURS PRIOR TO ADMISSION TO CURRENT FACILITY
V46.11 - V46.12	DEPENDENCE ON RESPIRATOR, STATUS - ENCOUNTER FOR RESPIRATOR DEPENDENCE DURING POWER FAILURE
V46.14	MECHANICAL COMPLICATION OF RESPIRATOR [VENTILATOR]
V46.2*	DEPENDENCE ON SUPPLEMENTAL OXYGEN
V49.75 - V49.76	BELOW KNEE AMPUTATION STATUS - ABOVE KNEE AMPUTATION STATUS
V49.84	BED CONFINEMENT STATUS
V49.87	PHYSICAL RESTRAINTS STATUS

*Notes:
Use code 041.9 to denote special handling in route - isolation.
Use code 293.0 to denote chemical restraint.
Use code 293.1 to denote patient safety: danger to self and others – monitoring other and unspecified reactive psychosis.
Use code 298.8 to denote patient safety: danger to self and others – seclusion (flight risk).
Use code 312.39 if behavior is such that restraints were required to ensure patient safety.
Use code 379.90 for acute, non traumatic loss of vision.
Use code 427.9 for potentially life threatening dysrhythmia.
Use code 428.9 to denote cardiac/hemodynamic monitoring required en route.
Use code 496 to denote suctioning required en route or need for titrated oxygen therapy.
Use code 719.49 to denote specialized handling en route – position requires specialized handling.
Use code 786.09 to denote airway control/positioning required en route.
Use code 907.2 to denote special handling en route to reduce pain.
Use code 959.9 to report a fall with injuries and other multiple injury conditions such as injuries sustained in motor vehicle accidents.
Use code 977.3 for severe alcohol intoxication which is accompanied by decreased level of consciousness and possibility airway compromise.
Use code 992.5 for potentially life threatening heat exhaustion.
Use code 996.00 for mechanical device failure threatening life or limb.
Use code V46.2 to indicate that transportation was necessary due to administration of medically necessary oxygen or required IV medications when the patient is incapable of self-administration.

Covered for Ambulance Services for Return Transportation Following Receipt of Medical Care:

191.9	MALIGNANT NEOPLASM OF BRAIN UNSPECIFIED SITE
199.1 - 199.2	OTHER MALIGNANT NEOPLASM OF UNSPECIFIED SITE - MALIGNANT NEOPLASM ASSOCIATED WITH TRANSPLANT ORGAN
312.39*	OTHER DISORDERS OF IMPULSE CONTROL
429.9*	HEART DISEASE UNSPECIFIED
436	ACUTE BUT ILL-DEFINED CEREBROVASCULAR DISEASE
438.0	COGNITIVE DEFICITS
438.20 - 438.22	HEMIPLEGIA AFFECTING UNSPECIFIED SIDE - HEMIPLEGIA AFFECTING NONDOMINANT SIDE
438.40 - 438.42	MONOPLEGIA OF LOWER LIMB AFFECTING UNSPECIFIED SIDE - MONOPLEGIA OF LOWER LIMB AFFECTING NONDOMINANT SIDE
707.03 - 707.05	PRESSURE ULCER, LOWER BACK - PRESSURE ULCER, BUTTOCK
707.23 - 707.24	PRESSURE ULCER, STAGE III - PRESSURE ULCER, STAGE IV
718.40 - 718.49	CONTRACTURE OF JOINT SITE UNSPECIFIED - CONTRACTURE OF JOINT OF MULTIPLE SITES
780.01 - 780.03	COMA - PERSISTENT VEGETATIVE STATE
780.09	ALTERATION OF CONSCIOUSNESS OTHER
780.39	OTHER CONVULSIONS
781.2 - 781.4*	ABNORMALITY OF GAIT - TRANSIENT PARALYSIS OF LIMB
806.00 - 806.09	CLOSED FRACTURE OF C1-C4 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - CLOSED FRACTURE OF C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY
806.10 - 806.19	OPEN FRACTURE OF C1-C4 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF C5-C7 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY
806.20 - 806.29	CLOSED FRACTURE OF T1-T6 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - CLOSED FRACTURE OF T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY
806.30 - 806.39	OPEN FRACTURE OF T1-T6 LEVEL WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF T7-T12 LEVEL WITH OTHER SPECIFIED SPINAL CORD INJURY
806.4 - 806.5	CLOSED FRACTURE OF LUMBAR SPINE WITH SPINAL CORD INJURY - OPEN FRACTURE OF LUMBAR SPINE WITH SPINAL CORD INJURY
806.60 - 806.62	CLOSED FRACTURE OF SACRUM AND COCCYX WITH UNSPECIFIED SPINAL CORD INJURY - CLOSED FRACTURE OF SACRUM AND COCCYX WITH OTHER CAUDA EQUINA INJURY
806.69	CLOSED FRACTURE OF SACRUM AND COCCYX WITH OTHER SPINAL CORD INJURY
806.70 - 806.72	OPEN FRACTURE OF SACRUM AND COCCYX WITH UNSPECIFIED SPINAL CORD INJURY - OPEN FRACTURE OF SACRUM AND COCCYX WITH OTHER CAUDA EQUINA INJURY
806.79	OPEN FRACTURE OF SACRUM AND COCCYX WITH OTHER SPINAL CORD INJURY
806.8 - 806.9	CLOSED FRACTURE OF UNSPECIFIED VERTEBRA WITH SPINAL CORD INJURY - OPEN FRACTURE OF UNSPECIFIED VERTEBRA WITH SPINAL CORD INJURY
808.0 - 808.3	CLOSED FRACTURE OF ACETABULUM - OPEN FRACTURE OF PUBIS
808.41 - 808.43	CLOSED FRACTURE OF ILIUM - MULTIPLE CLOSED PELVIC FRACTURES WITH DISRUPTION OF PELVIC CIRCLE
808.49	CLOSED FRACTURE OF OTHER SPECIFIED PART OF PELVIS
808.51 - 808.53	OPEN FRACTURE OF ILIUM - MULTIPLE OPEN PELVIC FRACTURES WITH DISRUPTION OF PELVIC CIRCLE
808.59	OPEN FRACTURE OF OTHER SPECIFIED PART OF PELVIS
808.8 - 808.9	UNSPECIFIED CLOSED FRACTURE OF PELVIS - UNSPECIFIED OPEN FRACTURE OF PELVIS
820.00 - 820.03	FRACTURE OF UNSPECIFIED INTRACAPSULAR SECTION OF NECK OF FEMUR CLOSED - FRACTURE OF BASE OF NECK OF FEMUR CLOSED
820.09	OTHER TRANSCERVICAL FRACTURE OF FEMUR CLOSED
820.10 - 820.13	FRACTURE OF UNSPECIFIED INTRACAPSULAR SECTION OF NECK OF FEMUR OPEN - FRACTURE OF BASE OF NECK OF FEMUR OPEN
820.19	OTHER TRANSCERVICAL FRACTURE OF FEMUR OPEN
820.20 - 820.22	FRACTURE OF UNSPECIFIED TROCHANTERIC SECTION OF FEMUR CLOSED - FRACTURE OF SUBTROCHANTERIC SECTION OF FEMUR CLOSED
820.30 - 820.32	FRACTURE OF UNSPECIFIED TROCHANTERIC SECTION OF FEMUR OPEN - FRACTURE OF SUBTROCHANTERIC SECTION OF FEMUR OPEN
820.8 - 820.9	FRACTURE OF UNSPECIFIED PART OF NECK OF FEMUR CLOSED - FRACTURE OF UNSPECIFIED PART OF NECK OF FEMUR OPEN
821.00 - 821.01	FRACTURE OF UNSPECIFIED PART OF FEMUR CLOSED - FRACTURE OF SHAFT OF FEMUR CLOSED
821.10 - 821.11	FRACTURE OF UNSPECIFIED PART OF FEMUR OPEN - FRACTURE OF SHAFT OF FEMUR OPEN
821.20 - 821.23	FRACTURE OF LOWER END OF FEMUR UNSPECIFIED PART CLOSED - SUPRACONDYLAR FRACTURE OF FEMUR CLOSED
821.29	OTHER FRACTURE OF LOWER END OF FEMUR CLOSED
821.30 - 821.33	FRACTURE OF LOWER END OF FEMUR UNSPECIFIED PART OPEN - SUPRACONDYLAR FRACTURE OF FEMUR OPEN
821.39	OTHER FRACTURE OF LOWER END OF FEMUR OPEN
959.01	OTHER AND UNSPECIFIED INJURY TO HEAD
959.11 - 959.12	OTHER INJURY OF CHEST WALL - OTHER INJURY OF ABDOMEN
959.19	OTHER AND UNSPECIFIED INJURY OF OTHER SITES OF TRUNK
V07.0	NEED FOR ISOLATION
V46.11 - V46.12	DEPENDENCE ON RESPIRATOR, STATUS - ENCOUNTER FOR RESPIRATOR DEPENDENCE DURING POWER FAILURE
V46.14	MECHANICAL COMPLICATION OF RESPIRATOR [VENTILATOR]
V46.2*	DEPENDENCE ON SUPPLEMENTAL OXYGEN
V49.75 - V49.76	BELOW KNEE AMPUTATION STATUS - ABOVE KNEE AMPUTATION STATUS
V49.84	BED CONFINEMENT STATUS
V49.87	PHYSICAL RESTRAINTS STATUS

*Notes:
Use code 312.39 if behavior is such that restraints were required to ensure patient safety.
use code 429.9 when there is an expectation that cardiac/hemodynamic monitoring will be required en route before and after transport.
Use code 781.3 to denote patient safety - risk of falling off wheelchair or stretcher while in motion.
Use code V46.2 to indicate that transportation was necessary due to administration of medically necessary oxygen when the patient is incapable of self-administration.