HCPCS T Codes | Established For State Medical Agencies

Welcome to our in-depth guide on T Codes, a vital aspect of medical billing and coding. These codes play a pivotal role in accurately documenting and reimbursing for essential medical services. In this guide, we delve into the specifics of Established For State Medical Agencies. Additionally we discover where these codes are applied and a list of HCPCS T Codes with detailed descriptions for seamless navigation.

HCPCS T Codes

HCPCS T Codes

Established For State Medical Agencies

HCPCS T Codes established specifically for State Medical Agencies, offering insights into their significance, proper utilization, and the impact on healthcare management.

HCPCS T Codes ListHCPCS T Codes Description
T1000 Private duty / independent nursing service(s) – licensed, up to 15 minutes
T1001 Nursing assessment / evaluation
T1002 Rn services, up to 15 minutes
T1003 Lpn/lvn services, up to 15 minutes
T1004 Services of a qualified nursing aide, up to 15 minutes
T1005 Respite care services, up to 15 minutes
T1006 Alcohol and/or substance abuse services, family/couple counseling
T1007 Alcohol and/or substance abuse services, treatment plan development and/or modification
T1009 Child sitting services for children of the individual receiving alcohol and/or substance abuse services
T1010 Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)
T1012 Alcohol and/or substance abuse services, skills development
T1013 Sign language or oral interpretive services, per 15 minutes
T1014 Telehealth transmission, per minute, professional services bill separately
T1015 Clinic visit/encounter, all-inclusive
T1016 Case management, each 15 minutes
T1017 Targeted case management, each 15 minutes
T1018 School-based individualized education program (iep) services, bundled
T1019 Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)
T1020 Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)
T1021 Home health aide or certified nurse assistant, per visit
T1022 Contracted home health agency services, all services provided under contract, per day
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter
T1024 Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter
T1025 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem
T1026 Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour
T1027 Family training and counseling for child development, per 15 minutes
T1028 Assessment of home, physical and family environment, to determine suitability to meet patient’s medical needs
T1029 Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling
T1030 Nursing care, in the home, by registered nurse, per diem
T1031 Nursing care, in the home, by licensed practical nurse, per diem
T1032 Services performed by a doula birth worker, per 15 minutes
T1033 Services performed by a doula birth worker, per diem
T1040 Medicaid certified community behavioral health clinic services, per diem
T1041 Medicaid certified community behavioral health clinic services, per month
T1502 Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit
T1503 Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit
T1505 Electronic medication compliance management device, includes all components and accessories, not otherwise classified
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in “remarks”
T2001 Non-emergency transportation; patient attendant/escort
T2002 Non-emergency transportation; per diem
T2003 Non-emergency transportation; encounter/trip
T2004 Non-emergency transport; commercial carrier, multi-pass
T2005 Non-emergency transportation; stretcher van
T2007 Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments
T2010 Preadmission screening and resident review (pasrr) level i identification screening, per screen
T2011 Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation
T2012 Habilitation, educational; waiver, per diem
T2013 Habilitation, educational, waiver; per hour
T2014 Habilitation, prevocational, waiver; per diem
T2015 Habilitation, prevocational, waiver; per hour
T2016 Habilitation, residential, waiver; per diem
T2017 Habilitation, residential, waiver; 15 minutes
T2018 Habilitation, supported employment, waiver; per diem
T2019 Habilitation, supported employment, waiver; per 15 minutes
T2020 Day habilitation, waiver; per diem
T2021 Day habilitation, waiver; per 15 minutes
T2022 Case management, per month
T2023 Targeted case management; per month
T2024 Service assessment/plan of care development, waiver
T2025 Waiver services; not otherwise specified (nos)
T2026 Specialized childcare, waiver; per diem
T2027 Specialized childcare, waiver; per 15 minutes
T2028 Specialized supply, not otherwise specified, waiver
T2029 Specialized medical equipment, not otherwise specified, waiver
T2030 Assisted living, waiver; per month
T2031 Assisted living; waiver, per diem
T2032 Residential care, not otherwise specified (nos), waiver; per month
T2033 Residential care, not otherwise specified (nos), waiver; per diem
T2034 Crisis intervention, waiver; per diem
T2035 Utility services to support medical equipment and assistive technology/devices, waiver
T2036 Therapeutic camping, overnight, waiver; each session
T2037 Therapeutic camping, day, waiver; each session
T2038 Community transition, waiver; per service
T2039 Vehicle modifications, waiver; per service
T2040 Financial management, self-directed, waiver; per 15 minutes
T2041 Supports brokerage, self-directed, waiver; per 15 minutes
T2042 Hospice routine home care; per diem
T2043 Hospice continuous home care; per hour
T2044 Hospice inpatient respite care; per diem
T2045 Hospice general inpatient care; per diem
T2046 Hospice long term care, room and board only; per diem
T2047 Habilitation, prevocational, waiver; per 15 minutes
T2048Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem
T2049 Non-emergency transportation; stretcher van, mileage; per mile
T2050 Financial management, self-directed, waiver; per diem
T2051 Supports brokerage, self-directed, waiver; per diem
T2101 Human breast milk processing, storage and distribution only
T4521 Adult sized disposable incontinence product, brief/diaper, small, each
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each
T4523 Adult sized disposable incontinence product, brief/diaper, large, each
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each
T4529 Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each
T4533 Youth sized disposable incontinence product, brief/diaper, each
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each
T4536 Incontinence product, protective underwear/pull-on, reusable, any size, each
T4537 Incontinence product, protective underpad, reusable, bed size, each
T4538 Diaper service, reusable diaper, each diaper
T4539 Incontinence product, diaper/brief, reusable, any size, each
T4540 Incontinence product, protective underpad, reusable, chair size, each
T4541 Incontinence product, disposable underpad, large, each
T4542 Incontinence product, disposable underpad, small size, each
T4543 Adult sized disposable incontinence product, protective brief/diaper, above extra large, each
T4544 Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each
T4545 Incontinence product, disposable, penile wrap, each
T5001 Positioning seat for persons with special orthopedic needs
T5999 Supply, not otherwise specified

What are HCPCS T Codes?

HCPCS, developed by the Centers for Medicare & Medicaid Services (CMS), is a standardized coding system used to describe healthcare procedures and services. T codes specifically pertain to state medical agencies, providing a structured way to document and bill for various medical activities.

Importance of T Codes for State Medical Agencies

Explore the critical role T codes play in ensuring accurate documentation, billing, and reimbursement for medical services rendered by state medical agencies. Understand how these codes contribute to a transparent and efficient healthcare system.

How to Use HCPCS T Codes

  • Code Assignment: Understand the process of assigning T codes to various medical procedures and services. Explore the guidelines and criteria that state medical agencies should follow to ensure accurate and consistent coding.
  • Documentation Best Practices: Delve into best practices for documenting medical services to align with T codes. Highlight the importance of thorough and precise documentation in supporting the coding process and ensuring compliance with regulatory requirements.

Conclusion

In conclusion, mastering T-Codes is paramount for healthcare professionals seeking to navigate the intricate landscape of medical billing and coding. Navigate our guide with confidence; furthermore, Check our complete HCPCS Codes Lookup to enhance your coding proficiency. Moreover, Empower yourself and your healthcare organization with the knowledge required for efficient billing, compliance, and optimal patient care.

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