| 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 |