`A0100` Nonemergency transport taxi

Non-emergency transportation; taxi

Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy

Medicare pricing for A0100

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for A0100

1 of 4 payer prior-auth lists that name A0100 require prior authorization or set conditions: Molina Healthcare of Texas.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Molina Healthcare of Texas	Exchange	TX	prior auth required	Requires Prior Authorization in Texas	Oct 1, 2023	Marketplace Prior Authorization (PA) Code Matrix (Texas), effective July 1, 2026

Payer coverage policies that name A0100

A0100 appears in 3 coverage policies from Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Premera Blue Cross.

Payer	Policy	Role in policy	Reviewed	Document
Blue Cross & Blue Shield of Mississippi	Ambulance And Medical Transport Services (L.9.01.400)	covered if criteria are met		payer document
Blue Cross & Blue Shield of Rhode Island	Ambulance Services - Ground	not covered	Sep 17, 2025	payer document
Premera Blue Cross	Non-covered Services and Procedures	listed, no stance	Jun 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in WY.

IN: $8.11 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
KS: $2.50 (default), effective Nov 1, 2009
MS: $55.00 (comprehensive), effective Jul 1, 2018
VA: $1.00 (medical), effective Apr 1, 2008
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

A0100 Nonemergency transport taxi