List of HCPCS codes for: State Medicaid Agency Codes (T-codes)

HCPCS Code	Short Description	Long Description
T1	Left foot, second digit	Left foot, second digit
T1000	Private duty/independent nsg	Private duty / independent nursing service(s) - licensed, up to 15 minutes
T1001	Nursing assessment/evaluatn	Nursing assessment / evaluation
T1002	Rn services up to 15 minutes	Rn services, up to 15 minutes
T1003	Lpn/lvn services up to 15min	Lpn/lvn services, up to 15 minutes
T1004	Nsg aide service up to 15min	Services of a qualified nursing aide, up to 15 minutes
T1005	Respite care service 15 min	Respite care services, up to 15 minutes
T1006	Family/couple counseling	Alcohol and/or substance abuse services, family/couple counseling
T1007	Treatment plan development	Alcohol and/or substance abuse services, treatment plan development and/or modification
T1009	Child sitting services	Child sitting services for children of the individual receiving alcohol and/or substance abuse services
T1010	Meals when receive services	Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)
T1012	Alcohol/substance abuse skil	Alcohol and/or substance abuse services, skills development
T1013	Sign lang/oral interpreter	Sign language or oral interpretive services, per 15 minutes
T1014	Telehealth transmit, per min	Telehealth transmission, per minute, professional services bill separately
T1015	Clinic service	Clinic visit/encounter, all-inclusive
T1016	Case management	Case management, each 15 minutes
T1017	Targeted case management	Targeted case management, each 15 minutes
T1018	School-based iep ser bundled	School-based individualized education program (iep) services, bundled
T1019	Personal care ser per 15 min	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 ser per diem	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	Hh aide or cn aide per visit	Home health aide or certified nurse assistant, per visit
T1022	Contracted services per day	Contracted home health agency services, all services provided under contract, per day
T1023	Program intake assessment	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter
T1024	Team evaluation & management	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter
T1025	Ped compr care pkg, per diem	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem
T1026	Ped compr care pkg, per hour	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour
T1027	Family training & counseling	Family training and counseling for child development, per 15 minutes
T1028	Home environment assessment	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs
T1029	Dwelling lead investigation	Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling
T1030	Rn home care per diem	Nursing care, in the home, by registered nurse, per diem
T1031	Lpn home care per diem	Nursing care, in the home, by licensed practical nurse, per diem
T1032	Sv doula brth wrk per 15 min	Services performed by a doula birth worker, per 15 minutes
T1033	Sv doula brth wrk per diem	Services performed by a doula birth worker, per diem
T1040	Comm bh clinic svc per diem	Medicaid certified community behavioral health clinic services, per diem
T1041	Comm bh clinic svc per month	Medicaid certified community behavioral health clinic services, per month
T1502	Medication admin visit	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit
T1503	Med admin, not oral/inject	Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit
T1505	Elec med comp dev, noc	Electronic medication compliance management device, includes all components and accessories, not otherwise classified
T1999	Noc retail items andsupplies	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in remarks
T2	Left foot, third digit	Left foot, third digit
T2001	N-et; patient attend/escort	Non-emergency transportation; patient attendant/escort
T2002	N-et; per diem	Non-emergency transportation; per diem
T2003	N-et; encounter/trip	Non-emergency transportation; encounter/trip
T2004	N-et; commerc carrier pass	Non-emergency transport; commercial carrier, multi-pass
T2005	N-et; stretcher van	Non-emergency transportation; stretcher van
T2007	Non-emer transport wait time	Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments
T2010	Pasrr level i	Preadmission screening and resident review (pasrr) level i identification screening, per screen
T2011	Pasrr level ii	Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation
T2012	Habil ed waiver, per diem	Habilitation, educational; waiver, per diem
T2013	Habil ed waiver per hour	Habilitation, educational, waiver; per hour
T2014	Habil prevoc waiver, per d	Habilitation, prevocational, waiver; per diem
T2015	Habil prevoc waiver per hr	Habilitation, prevocational, waiver; per hour
T2016	Habil res waiver per diem	Habilitation, residential, waiver; per diem
T2017	Habil res waiver 15 min	Habilitation, residential, waiver; 15 minutes
T2018	Habil sup empl waiver/diem	Habilitation, supported employment, waiver; per diem
T2019	Habil sup empl waiver 15min	Habilitation, supported employment, waiver; per 15 minutes
T2020	Day habil waiver per diem	Day habilitation, waiver; per diem
T2021	Day habil waiver per 15 min	Day habilitation, waiver; per 15 minutes
T2022	Case management, per month	Case management, per month
T2023	Targeted case mgmt per month	Targeted case management; per month
T2024	Serv asmnt/care plan waiver	Service assessment/plan of care development, waiver
T2025	Waiver service, nos	Waiver services; not otherwise specified (nos)
T2026	Special childcare waiver/d	Specialized childcare, waiver; per diem
T2027	Spec childcare waiver 15 min	Specialized childcare, waiver; per 15 minutes
T2028	Special supply, nos waiver	Specialized supply, not otherwise specified, waiver
T2029	Special med equip, noswaiver	Specialized medical equipment, not otherwise specified, waiver
T2030	Assist living waiver/month	Assisted living, waiver; per month
T2031	Assist living waiver/diem	Assisted living; waiver, per diem
T2032	Res care, nos waiver/month	Residential care, not otherwise specified (nos), waiver; per month
T2033	Res, nos waiver per diem	Residential care, not otherwise specified (nos), waiver; per diem
T2034	Crisis interven waiver/diem	Crisis intervention, waiver; per diem
T2035	Utility services waiver	Utility services to support medical equipment and assistive technology/devices, waiver
T2036	Camp overnite waiver/session	Therapeutic camping, overnight, waiver; each session
T2037	Camp day waiver/session	Therapeutic camping, day, waiver; each session
T2038	Comm trans waiver/service	Community transition, waiver; per service
T2039	Vehicle mod waiver/service	Vehicle modifications, waiver; per service
T2040	Financial mgt waiver/15min	Financial management, self-directed, waiver; per 15 minutes
T2041	Support broker waiver/15 min	Supports brokerage, self-directed, waiver; per 15 minutes
T2042	Hospice routine home care	Hospice routine home care; per diem
T2043	Hospice continuous home care	Hospice continuous home care; per hour
T2044	Hospice respite care	Hospice inpatient respite care; per diem
T2045	Hospice general care	Hospice general inpatient care; per diem
T2046	Hospice long term care, r&b	Hospice long term care, room and board only; per diem
T2047	Hab prevo waiver per 15	Habilitation, prevocational, waiver; per 15 minutes
T2048	Bh ltc res r&b, per diem	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	N-et; stretcher van, mileage	Non-emergency transportation; stretcher van, mileage; per mile
T2050	Financial mgt waiver/diem	Financial management, self-directed, waiver; per diem
T2051	Support broker waiver/diem	Supports brokerage, self-directed, waiver; per diem
T2101	Breast milk proc/store/dist	Human breast milk processing, storage and distribution only
T3	Left foot, fourth digit	Left foot, fourth digit
T4	Left foot, fifth digit	Left foot, fifth digit
T4521	Adult size brief/diaper sm	Adult sized disposable incontinence product, brief/diaper, small, each
T4522	Adult size brief/diaper med	Adult sized disposable incontinence product, brief/diaper, medium, each
T4523	Adult size brief/diaper lg	Adult sized disposable incontinence product, brief/diaper, large, each
T4524	Adult size brief/diaper xl	Adult sized disposable incontinence product, brief/diaper, extra large, each
T4525	Adult size pull-on sm	Adult sized disposable incontinence product, protective underwear/pull-on, small size, each
T4526	Adult size pull-on med	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each
T4527	Adult size pull-on lg	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each
T4528	Adult size pull-on xl	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each
T4529	Ped size brief/diaper sm/med	Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each
T4530	Ped size brief/diaper lg	Pediatric sized disposable incontinence product, brief/diaper, large size, each
T4531	Ped size pull-on sm/med	Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each
T4532	Ped size pull-on lg	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each
T4533	Youth size brief/diaper	Youth sized disposable incontinence product, brief/diaper, each
T4534	Youth size pull-on	Youth sized disposable incontinence product, protective underwear/pull-on, each
T4535	Disposable liner/shield/pad	Disposable liner/shield/guard/pad/undergarment, for incontinence, each
T4536	Reusable pull-on any size	Incontinence product, protective underwear/pull-on, reusable, any size, each
T4537	Reusable underpad bed size	Incontinence product, protective underpad, reusable, bed size, each
T4538	Diaper serv reusable diaper	Diaper service, reusable diaper, each diaper
T4539	Reuse diaper/brief any size	Incontinence product, diaper/brief, reusable, any size, each
T4540	Reusable underpad chair size	Incontinence product, protective underpad, reusable, chair size, each
T4541	Large disposable underpad	Incontinence product, disposable underpad, large, each
T4542	Small disposable underpad	Incontinence product, disposable underpad, small size, each
T4543	Adult disp brief/diap abv xl	Adult sized disposable incontinence product, protective brief/diaper, above extra large, each
T4544	Adlt disp und/pull on abv xl	Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each
T4545	Incon disposable penile wrap	Incontinence product, disposable, penile wrap, each
T5	Right foot, great toe	Right foot, great toe
T5001	Position seat spec orth need	Positioning seat for persons with special orthopedic needs
T5999	Supply, nos	Supply, not otherwise specified
T6	Right foot, second digit	Right foot, second digit
T7	Right foot, third digit	Right foot, third digit
T8	Right foot, fourth digit	Right foot, fourth digit
T9	Right foot, fifth digit	Right foot, fifth digit
TA	Left foot, great toe	Left foot, great toe
TB	340b drug: slct entities	Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes for select entities
TC	Technical component	Technical component; under certain circumstances, a charge may be made for the technical component alone; under those circumstances the technical component charge is identified by adding modifier 'tc' to the usual procedure number; technical component charges are institutional charges and not billed separately by physicians; however, portable x-ray suppliers only bill for technical component and should utilize modifier tc; the charge data from portable x-ray suppliers will then be used to build customary and prevailing profiles
TD	Rn	Rn
TE	Lpn/lvn	Lpn/lvn
TF	Intermediate level of care	Intermediate level of care
TG	Complex/high tech level care	Complex/high tech level of care
TH	Ob tx/srvcs prenatl/postpart	Obstetrical treatment/services, prenatal or postpartum
TJ	Child/adolescent program gp	Program group, child and/or adolescent
TK	Extra patient or passenger	Extra patient or passenger, non-ambulance
TL	Early intervention ifsp	Early intervention/individualized family service plan (ifsp)
TM	Individualized ed prgrm(iep)	Individualized education program (iep)
TN	Rural/out of service area	Rural/outside providers' customary service area
TP	Med transprt unloaded vehicl	Medical transport, unloaded vehicle
TQ	Bls by volunteer amb providr	Basic life support transport by a volunteer ambulance provider
TR	School-based iep out of dist	School-based individualized education program (iep) services provided outside the public school district responsible for the student
TS	Follow-up service	Follow-up service
TT	Additional patient	Individualized service provided to more than one patient in same setting
TU	Overtime payment rate	Special payment rate, overtime
TV	Holiday/weekend payment rate	Special payment rates, holidays/weekends
TW	Back-up equipment	Back-up equipment