A0432 HCPCS code: Paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers
A0432 is the HCPCS Level II code for paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers. In 2024 Medicare paid an average of $369.98 per service for A0432 across 164 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on outpatient hospital claims. Medicare volume fell 81% from 2022 to 2024 (883 to 164 services). In 2024, about 37 clinicians billed Medicare for A0432 for 161 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | A codes — Transportation, medical/surgical supplies and miscellaneous |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 52 |
| BETOS category | O1A — Ambulance |
| Added | 2001-01-01 |
| Last action effective | 2001-01-01 |
Who bills A0432 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 37 |
| Medicare beneficiaries | 161 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for A0432, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 883 | 778 | $422.18 | $322.32 |
| 2023 | 334 | 308 | $457.26 | $360.13 |
| 2024 | 164 | 161 | $473.54 | $369.98 |
States with the most A0432 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 158 | $371.77 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Clinical: Data |
| practitioner claims | 1 | Clinical: Data |
What changed for A0432
- 2001-01-01: A0432 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code A0432?
A0432 is the HCPCS Level II code for paramedic intercept (pi), rural area, transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers. Short descriptor: "Pi volunteer ambulance co".
How much does Medicare pay for A0432?
In 2024, the average Medicare payment was $369.98 per service (average allowed $473.54).
Does Medicare cover A0432?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of A0432 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related A04 codes
- A0420 — Ambulance waiting time (als or bls), one half (1/2) hour increments
- A0422 — Ambulance (als or bls) oxygen and oxygen supplies, life sustaining situation
- A0424 — Extra ambulance attendant, ground (als or bls) or air (fixed or rotary winged); (requires medical review)
- 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 (als 1 - emergency)
- A0428 — Ambulance service, basic life support, non-emergency transport, (bls)
- A0429 — Ambulance service, basic life support, emergency transport (bls-emergency)
- A0430 — Ambulance service, conventional air services, transport, one way (fixed wing)
- A0431 — Ambulance service, conventional air services, transport, one way (rotary wing)
- A0433 — Advanced life support, level 2 (als 2)
- A0434 — Specialty care transport (sct)
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Next steps
- Run a reimbursement report for a device billed under A0432
- Watch A0432 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for A0432
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.