Question 1

What is HCPCS code A0160?

Accepted Answer

HCPCS code A0160 is "Noner transport case worker". Non-emergency transportation: per mile - case worker or social worker

Question 2

What category is A0160 in?

Accepted Answer

A0160 belongs to HCPCS Category A (Transportation, Medical/Surgical Supplies, Miscellaneous).

Question 3

When should I use HCPCS code A0160?

Accepted Answer

Use A0160 when billing for noner transport case worker. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is A0160 covered by Medicare?

Accepted Answer

Coverage for A0160 (Noner transport case worker) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for A0160?

Accepted Answer

Documentation for A0160 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).