Question 1

What is HCPCS code T1003?

Accepted Answer

HCPCS code T1003 is "Lpn/lvn services up to 15min". Lpn/lvn services, up to 15 minutes

Question 2

What category is T1003 in?

Accepted Answer

T1003 belongs to HCPCS Category T (State Medicaid Agency Codes).

Question 3

When should I use HCPCS code T1003?

Accepted Answer

Use T1003 when billing for lpn/lvn services up to 15min. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is T1003 covered by Medicare?

Accepted Answer

Coverage for T1003 (Lpn/lvn services up to 15min) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for T1003?

Accepted Answer

Documentation for T1003 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).