T1015: Clinic visit/encounter, all-inclusive
T1015 is a HCPCS Level II code for clinic visit/encounter, all-inclusive. It belongs to the National Codes for State Medicaid Agencies section. Medicare does not pay it: see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q4-Oct. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusI
Not valid for Medicare purposes. Medicare uses another code.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for T1015
- Long descriptor
- Clinic visit/encounter, all-inclusive
- Short descriptor
- Clinic service
- Added
- January 1, 2002
- BETOS
- Z2
- Pricing indicator
- 00: Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service: CMS's own analytic grouping.
Service not separately priced by Part B, not covered, bundled into another service, or used by Part A only.
Codes adjacent to T1015
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If T1015 is not quite right, the correct code is very often within a few positions of it.
- 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
- 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