Question 1

What is HCPCS code T1022?

Accepted Answer

HCPCS code T1022 is "Contracted services per day". Contracted home health agency services, all services provided under contract, per day

Question 2

What category is T1022 in?

Accepted Answer

T1022 belongs to HCPCS Category T (State Medicaid Agency Codes).

Question 3

When should I use HCPCS code T1022?

Accepted Answer

Use T1022 when billing for contracted services per day. 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 T1022 covered by Medicare?

Accepted Answer

Coverage for T1022 (Contracted services per day) 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 T1022?

Accepted Answer

Documentation for T1022 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).