T-code: State Medicaid agency codes State Medicaid agency codes

114 codes

Billing context

T-codes are national codes established for state Medicaid agencies. They are not valid for Medicare.

T-codes, page 1 of 2
Code	Long descriptor	Payment limit (Q4 2026)	Added	Status
T1000	Private duty / independent nursing service(s) - licensed, up to 15 minutes	—	Jul 1, 2001	Active
T1001	Nursing assessment / evaluation	—	Jul 1, 2001	Active
T1002	Rn services, up to 15 minutes	—	Jul 1, 2001	Active
T1003	Lpn/lvn services, up to 15 minutes	—	Jul 1, 2001	Active
T1004	Services of a qualified nursing aide, up to 15 minutes	—	Jul 1, 2001	Active
T1005	Respite care services, up to 15 minutes	—	Jul 1, 2001	Active
T1006	Alcohol and/or substance abuse services, family/couple counseling	—	Jul 1, 2001	Active
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	—	Jul 1, 2001	Active
T1009	Child sitting services for children of the individual receiving alcohol and/or substance abuse services	—	Jul 1, 2001	Active
T1010	Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)	—	Jul 1, 2001	Active
T1012	Alcohol and/or substance abuse services, skills development	—	Jul 1, 2001	Active
T1013	Sign language or oral interpretive services, per 15 minutes	—	Jul 1, 2001	Active
T1014	Telehealth transmission, per minute, professional services bill separately	—	Jul 1, 2001	Active
T1015	Clinic visit/encounter, all-inclusive	—	Jan 1, 2002	Active
T1016	Case management, each 15 minutes	—	Jul 1, 2002	Active
T1017	Targeted case management, each 15 minutes	—	Jul 1, 2002	Active
T1018	School-based individualized education program (iep) services, bundled	—	Jul 1, 2002	Active
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)	—	Jul 1, 2002	Active
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)	—	Jul 1, 2002	Active
T1021	Home health aide or certified nurse assistant, per visit	—	Jul 1, 2002	Active
T1022	Contracted home health agency services, all services provided under contract, per day	—	Jan 1, 2003	Active
T1023	Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter	—	Jan 1, 2003	Active
T1024	Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter	—	Jan 1, 2003	Active
T1025	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem	—	Jan 1, 2003	Active
T1026	Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour	—	Jan 1, 2003	Active
T1027	Family training and counseling for child development, per 15 minutes	—	Jan 1, 2003	Active
T1028	Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs	—	Jan 1, 2003	Active
T1029	Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling	—	Jan 1, 2003	Active
T1030	Nursing care, in the home, by registered nurse, per diem	—	Jan 1, 2003	Active
T1031	Nursing care, in the home, by licensed practical nurse, per diem	—	Jan 1, 2003	Active
T1032	Services performed by a doula birth worker, per 15 minutes	—	Oct 1, 2022	Active
T1033	Services performed by a doula birth worker, per diem	—	Oct 1, 2022	Active
T1040	Medicaid certified community behavioral health clinic services, per diem	—	Jan 1, 2017	Active
T1041	Medicaid certified community behavioral health clinic services, per month	—	Jan 1, 2017	Active
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	—	Jan 1, 2003	Active
T1503	Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit	—	Apr 1, 2007	Active
T1505	Electronic medication compliance management device, includes all components and accessories, not otherwise classifiedNOC / NOS	—	Jan 1, 2011	Active
T1999	Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"NOC / NOS	—	Jan 1, 2003	Active
T2001	Non-emergency transportation; patient attendant/escort	—	Apr 1, 2002	Active
T2002	Non-emergency transportation; per diem	—	Apr 1, 2002	Active
T2003	Non-emergency transportation; encounter/trip	—	Apr 1, 2002	Active
T2004	Non-emergency transport; commercial carrier, multi-pass	—	Apr 1, 2002	Active
T2005	Non-emergency transportation; stretcher van	—	Apr 1, 2002	Active
T2007	Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments	—	Jan 1, 2003	Active
T2010	Preadmission screening and resident review (pasrr) level i identification screening, per screen	—	Apr 1, 2003	Active
T2011	Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation	—	Apr 1, 2003	Active
T2012	Habilitation, educational; waiver, per diem	—	Oct 1, 2003	Active
T2013	Habilitation, educational, waiver; per hour	—	Oct 1, 2003	Active
T2014	Habilitation, prevocational, waiver; per diem	—	Oct 1, 2003	Active
T2015	Habilitation, prevocational, waiver; per hour	—	Oct 1, 2003	Active
T2016	Habilitation, residential, waiver; per diem	—	Oct 1, 2003	Active
T2017	Habilitation, residential, waiver; 15 minutes	—	Oct 1, 2003	Active
T2018	Habilitation, supported employment, waiver; per diem	—	Oct 1, 2003	Active
T2019	Habilitation, supported employment, waiver; per 15 minutes	—	Oct 1, 2003	Active
T2020	Day habilitation, waiver; per diem	—	Oct 1, 2003	Active
T2021	Day habilitation, waiver; per 15 minutes	—	Oct 1, 2003	Active
T2022	Case management, per month	—	Oct 1, 2003	Active
T2023	Targeted case management; per month	—	Oct 1, 2003	Active
T2024	Service assessment/plan of care development, waiver	—	Oct 1, 2003	Active
T2025	Waiver services; not otherwise specified (nos)NOC / NOS	—	Oct 1, 2003	Active
T2026	Specialized childcare, waiver; per diem	—	Oct 1, 2003	Active
T2027	Specialized childcare, waiver; per 15 minutes	—	Oct 1, 2003	Active
T2028	Specialized supply, not otherwise specified, waiverNOC / NOS	—	Oct 1, 2003	Active
T2029	Specialized medical equipment, not otherwise specified, waiverNOC / NOS	—	Oct 1, 2003	Active
T2030	Assisted living, waiver; per month	—	Oct 1, 2003	Active
T2031	Assisted living; waiver, per diem	—	Oct 1, 2003	Active
T2032	Residential care, not otherwise specified (nos), waiver; per monthNOC / NOS	—	Oct 1, 2003	Active
T2033	Residential care, not otherwise specified (nos), waiver; per diemNOC / NOS	—	Oct 1, 2003	Active
T2034	Crisis intervention, waiver; per diem	—	Oct 1, 2003	Active
T2035	Utility services to support medical equipment and assistive technology/devices, waiver	—	Oct 1, 2003	Active
T2036	Therapeutic camping, overnight, waiver; each session	—	Oct 1, 2003	Active
T2037	Therapeutic camping, day, waiver; each session	—	Oct 1, 2003	Active
T2038	Community transition, waiver; per service	—	Oct 1, 2003	Active
T2039	Vehicle modifications, waiver; per service	—	Oct 1, 2003	Active
T2040	Financial management, self-directed, waiver; per 15 minutes	—	Oct 1, 2003	Active
T2041	Supports brokerage, self-directed, waiver; per 15 minutes	—	Oct 1, 2003	Active
T2042	Hospice routine home care; per diem	—	Oct 1, 2003	Active
T2043	Hospice continuous home care; per hour	—	Oct 1, 2003	Active
T2044	Hospice inpatient respite care; per diem	—	Oct 1, 2003	Active
T2045	Hospice general inpatient care; per diem	—	Oct 1, 2003	Active
T2046	Hospice long term care, room and board only; per diem	—	Oct 1, 2003	Active
T2047	Habilitation, prevocational, waiver; per 15 minutes	—	Oct 1, 2020	Active
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	—	Oct 1, 2003	Active
T2049	Non-emergency transportation; stretcher van, mileage; per mile	—	Jul 1, 2004	Active
T2050	Financial management, self-directed, waiver; per diem	—	Apr 1, 2022	Active
T2051	Supports brokerage, self-directed, waiver; per diem	—	Apr 1, 2022	Active
T2101	Human breast milk processing, storage and distribution only	—	Jan 1, 2004	Active
T4521	Adult sized disposable incontinence product, brief/diaper, small, each	—	Jan 1, 2005	Active
T4522	Adult sized disposable incontinence product, brief/diaper, medium, each	—	Jan 1, 2005	Active
T4523	Adult sized disposable incontinence product, brief/diaper, large, each	—	Jan 1, 2005	Active
T4524	Adult sized disposable incontinence product, brief/diaper, extra large, each	—	Jan 1, 2005	Active
T4525	Adult sized disposable incontinence product, protective underwear/pull-on, small size, each	—	Jan 1, 2005	Active
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	—	Jan 1, 2005	Active
T4527	Adult sized disposable incontinence product, protective underwear/pull-on, large size, each	—	Jan 1, 2005	Active
T4528	Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each	—	Jan 1, 2005	Active
T4529	Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each	—	Jan 1, 2005	Active
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	—	Jan 1, 2005	Active
T4531	Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each	—	Jan 1, 2005	Active
T4532	Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each	—	Jan 1, 2005	Active
T4533	Youth sized disposable incontinence product, brief/diaper, each	—	Jan 1, 2005	Active