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T Codes
Established For State Medical Agencies
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Codes
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, medical 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
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
t2048
Behavioral 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
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
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