Question 1

What is HCPCS code T1023?

Accepted Answer

HCPCS code T1023 is "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

Question 2

What category is T1023 in?

Accepted Answer

T1023 belongs to HCPCS Category T (State Medicaid Agency Codes).

Question 3

When should I use HCPCS code T1023?

Accepted Answer

Use T1023 when billing for program intake assessment. 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 T1023 covered by Medicare?

Accepted Answer

Coverage for T1023 (Program intake assessment) 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 T1023?

Accepted Answer

Documentation for T1023 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).