2017-34: Ambulance Claims: Billing Guidelines For Emergency Services

Date: 08/01/17

Effective November 1, 2017, Louisiana Healthcare Connections will update our claims configuration with regards to the billing of ambulance claims.

Claims configuration will be updated as follows:

• Louisiana Healthcare Connections will no longer accept nor recognize the “ET” modifier to distinguish emergency from non-emergency services.
• Medical transportation providers should use the following indicators in Box 24c of the 1500 Claim Form:
  • Y or 9 for Emergency
  • N or 3 for Non-emergency  
• If Box 24c is left blank, the claim will default to non-emergency.

Note: Transportation billing resources can found in the Louisiana Medicaid Program Manual. The manual can be viewed online at http://www.lamedicaid.com/provweb1/Providermanuals/manuals/MED_TRANS/MED_TRANS.pdf