HCPCST1000–T9999
HCPCS T: National Codes for State Medicaid Agencies
Established for Medicaid programs for services Medicare does not cover.
114 codes in the current CMS release.
- T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes
- T1001Nursing assessment / evaluation
- T1002Rn services, up to 15 minutes
- T1003Lpn/lvn services, up to 15 minutes
- T1004Services of a qualified nursing aide, up to 15 minutes
- T1005Respite care services, up to 15 minutes
- T1006Alcohol and/or substance abuse services, family/couple counseling
- T1007Alcohol and/or substance abuse services, treatment plan development and/or modification
- T1009Child sitting services for children of the individual receiving alcohol and/or substance abuse services
- T1010Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)
- T1012Alcohol and/or substance abuse services, skills development
- T1013Sign language or oral interpretive services, per 15 minutes
- T1014Telehealth transmission, per minute, professional services bill separately
- T1015Clinic visit/encounter, all-inclusive
- T1016Case management, each 15 minutes
- T1017Targeted case management, each 15 minutes
- T1018School-based individualized education program (iep) services, bundled
- T1019Personal 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)
- T1020Personal 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)
- T1021Home health aide or certified nurse assistant, per visit
- T1022Contracted home health agency services, all services provided under contract, per day
- T1023Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter
- T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter
- T1025Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem
- T1026Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour
- T1027Family training and counseling for child development, per 15 minutes
- T1028Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs
- T1029Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling
- T1030Nursing care, in the home, by registered nurse, per diem
- T1031Nursing care, in the home, by licensed practical nurse, per diem
- T1032Services performed by a doula birth worker, per 15 minutes
- T1033Services performed by a doula birth worker, per diem
- T1040Medicaid certified community behavioral health clinic services, per diem
- T1041Medicaid certified community behavioral health clinic services, per month
- T1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit
- T1503Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit
- T1505Electronic medication compliance management device, includes all components and accessories, not otherwise classified
- T1999Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"
- T2001Non-emergency transportation; patient attendant/escort
- T2002Non-emergency transportation; per diem
- T2003Non-emergency transportation; encounter/trip
- T2004Non-emergency transport; commercial carrier, multi-pass
- T2005Non-emergency transportation; stretcher van
- T2007Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments
- T2010Preadmission screening and resident review (pasrr) level i identification screening, per screen
- T2011Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation
- T2012Habilitation, educational; waiver, per diem
- T2013Habilitation, educational, waiver; per hour
- T2014Habilitation, prevocational, waiver; per diem
- T2015Habilitation, prevocational, waiver; per hour
- T2016Habilitation, residential, waiver; per diem
- T2017Habilitation, residential, waiver; 15 minutes
- T2018Habilitation, supported employment, waiver; per diem
- T2019Habilitation, supported employment, waiver; per 15 minutes
- T2020Day habilitation, waiver; per diem
- T2021Day habilitation, waiver; per 15 minutes
- T2022Case management, per month
- T2023Targeted case management; per month
- T2024Service assessment/plan of care development, waiver
- T2025Waiver services; not otherwise specified (nos)
- T2026Specialized childcare, waiver; per diem
- T2027Specialized childcare, waiver; per 15 minutes
- T2028Specialized supply, not otherwise specified, waiver
- T2029Specialized medical equipment, not otherwise specified, waiver
- T2030Assisted living, waiver; per month
- T2031Assisted living; waiver, per diem
- T2032Residential care, not otherwise specified (nos), waiver; per month
- T2033Residential care, not otherwise specified (nos), waiver; per diem
- T2034Crisis intervention, waiver; per diem
- T2035Utility services to support medical equipment and assistive technology/devices, waiver
- T2036Therapeutic camping, overnight, waiver; each session
- T2037Therapeutic camping, day, waiver; each session
- T2038Community transition, waiver; per service
- T2039Vehicle modifications, waiver; per service
- T2040Financial management, self-directed, waiver; per 15 minutes
- T2041Supports brokerage, self-directed, waiver; per 15 minutes
- T2042Hospice routine home care; per diem
- T2043Hospice continuous home care; per hour
- T2044Hospice inpatient respite care; per diem
- T2045Hospice general inpatient care; per diem
- T2046Hospice long term care, room and board only; per diem
- T2047Habilitation, 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
- T2049Non-emergency transportation; stretcher van, mileage; per mile
- T2050Financial management, self-directed, waiver; per diem
- T2051Supports brokerage, self-directed, waiver; per diem
- T2101Human breast milk processing, storage and distribution only
- T4521Adult sized disposable incontinence product, brief/diaper, small, each
- T4522Adult sized disposable incontinence product, brief/diaper, medium, each
- T4523Adult sized disposable incontinence product, brief/diaper, large, each
- T4524Adult sized disposable incontinence product, brief/diaper, extra large, each
- T4525Adult sized disposable incontinence product, protective underwear/pull-on, small size, each
- T4526Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each
- T4527Adult sized disposable incontinence product, protective underwear/pull-on, large size, each
- T4528Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each
- T4529Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each
- T4530Pediatric sized disposable incontinence product, brief/diaper, large size, each
- T4531Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each
- T4532Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each
- T4533Youth sized disposable incontinence product, brief/diaper, each
- T4534Youth sized disposable incontinence product, protective underwear/pull-on, each
- T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each
- T4536Incontinence product, protective underwear/pull-on, reusable, any size, each
- T4537Incontinence product, protective underpad, reusable, bed size, each
- T4538Diaper service, reusable diaper, each diaper
- T4539Incontinence product, diaper/brief, reusable, any size, each
- T4540Incontinence product, protective underpad, reusable, chair size, each
- T4541Incontinence product, disposable underpad, large, each
- T4542Incontinence product, disposable underpad, small size, each
- T4543Adult sized disposable incontinence product, protective brief/diaper, above extra large, each
- T4544Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each
- T4545Incontinence product, disposable, penile wrap, each
- T5001Positioning seat for persons with special orthopedic needs
- T5999Supply, not otherwise specified