HCPCS Codes - Medical Procedures, Supplies & DME Codes - t1 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("t1" Codes):- T1000 private duty independent nursing services HCPCS Code Code
- T1001 nursing assessment evaluation HCPCS Code Code
- T1002 rn services up 15 minutes HCPCS Code Code
- T1003 lpnlvn services up 15 minutes HCPCS Code Code
- T1004 services a qualified nursing aide up HCPCS Code Code
- T1005 respite care services up 15 minutes HCPCS Code Code
- T1006 alcohol andor substance abuse services familycouple HCPCS Code Code
- T1007 alcohol andor substance abuse services treatment HCPCS Code Code
- T1009 child sitting services children individual receiving HCPCS Code Code
- T1010 meals individuals receiving alcohol andor substance HCPCS Code Code
- T1012 alcohol andor substance abuse services skills HCPCS Code Code
- T1013 sign language oral interpretive services per HCPCS Code Code
- T1014 telehealth transmission per minute professional services HCPCS Code Code
- T1015 clinic visitencounter allinclusive HCPCS Code Code
- T1016 case management each 15 minutes HCPCS Code Code
- T1017 targeted case management each 15 minutes HCPCS Code Code
- T1018 schoolbased individualized education program iep services HCPCS Code Code
- T1019 personal care services per 15 minutes HCPCS Code Code
- T1020 personal care services per diem not HCPCS Code Code
- T1021 home health aide certified nurse assistant HCPCS Code Code
- T1022 contracted home health agency services all HCPCS Code Code
- T1023 screening determine appropriateness consideration an individual HCPCS Code Code
- T1024 evaluation treatment an integrated specialty team HCPCS Code Code
- T1025 intensive extended multidisciplinary services provided a HCPCS Code Code
- T1026 intensive extended multidisciplinary services provided a HCPCS Code Code
- T1027 family training counseling child development per HCPCS Code Code
- T1028 assessment home physical family environment determine HCPCS Code Code
- T1029 comprehensive environmental lead investigation not including HCPCS Code Code
- T1030 nursing care home registered nurse per HCPCS Code Code
- T1031 nursing care home licensed practical nurse HCPCS Code Code
- T1032 Services performed by a doula birth worker, per 15 minutes HCPCS Code Code
- T1033 Services performed by a doula birth worker, per diem HCPCS Code Code
- T1040 Medicaid certified community behavioral health clinic services, per diem HCPCS Code Code
- T1041 Medicaid certified community behavioral health clinic services, per month HCPCS Code Code
- T1500 REUSABLE DIAPER/PANT HCPCS Code Code
- T1502 administration oral intramuscular andor subcutaneous medication HCPCS Code Code
- T1503 MED ADMIN, NOT ORAL/INJECT HCPCS Code Code
- T1505 Electronic medication compliance management device, includes all HCPCS Code Code
- T1999 miscellaneous therapeutic items supplies retail purchases HCPCS Code Code
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HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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