Medicare rate for HCPCS A0425 in 2026
HCPCS A0425 has no national Medicare rate on the CMS 2026 October release, because it carries status X on the 2026 Physician Fee Schedule, which means statutory exclusion. There is no Medicare allowed amount to quote for it, and any figure presented as one did not come from this fee schedule.
Ground ambulance mileage, per mile
CMS short descriptor: Ground mileage · Status X: Statutory exclusion · Source: CMS 2026 October (RVU26D, non-QP conversion factor), effective 10/2026.
Priced per mile on the ambulance fee schedule, which also adds a rural increase when the pickup point qualifies.
What HCPCS A0425 means
The mileage charge for a ground ambulance trip, one unit per loaded mile with the patient on board. It is billed alongside a base-rate code such as A0427.
Where HCPCS A0425 gets a price
Medicare pays ground ambulance under its separate ambulance fee schedule, not under the Physician Fee Schedule. The ambulance fee schedule lookup shows that schedule. On a New Jersey PIP claim the state’s own fee schedule governs, and the NJ PIP fee schedule lookup shows whether New Jersey lists the code.
Checking a different code, state or year
The Medicare rate lookup prices all 17,000-plus codes in the Physician Fee Schedule for any state and any fee-schedule year from 2023 to 2026. Ambulance codes are priced separately on the ambulance fee schedule, because Medicare does not pay for ambulance transport under this schedule at all.
Other ambulance codes
- HCPCS A0427 Ambulance, advanced life support, emergency (ALS1)
Other codes with a rate page
- CPT 99213 Established patient office visit, low complexity
- CPT 99214 Established patient office visit, moderate complexity
- CPT 99204 New patient office visit, moderate complexity
- CPT 99284 Emergency department visit, moderate complexity
- CPT 72148 MRI, lumbar spine, without contrast
- CPT 72141 MRI, cervical spine, without contrast
Medicare rates are a benchmark, not an allowance. What a no-fault, workers’ compensation or commercial carrier owes for HCPCS A0425 is set by the fee schedule or policy that governs the claim.
One code is one line of a bill.
Desk prices a whole case against the schedule that actually governs the claim, with every line cited to the document it came from. Fair Measure Billing Experts prepares and signs the report when you need someone else to write it.