T1040 — Medicaid certified community behavioral health clinic services, per diem
T1040 is a HCPCS Level II code for medicaid certified community behavioral health clinic services, per diem. 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 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusN
Non-covered service. Medicare does not cover it.
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 T1040
- Long descriptor
- Medicaid certified community behavioral health clinic services, per diem
- Short descriptor
- Comm bh clinic svc per diem
- Added
- January 1, 2017
- 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 T1040
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If T1040 is not quite right, the correct code is very often within a few positions of it.
- 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
- 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
Questions about T1040
What is HCPCS code T1040?
T1040 is a HCPCS Level II code for medicaid certified community behavioral health clinic services, per diem. It sits in the National Codes for State Medicaid Agencies section.
Does Medicare cover T1040?
The CMS HCPCS file marks T1040 as "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.
How is T1040 paid under the physician fee schedule?
T1040 carries PFS status code N. Non-covered service. Medicare does not cover it.