Question 1

What is HCPCS code T1027?

Accepted Answer

HCPCS code T1027 is "Family training & counseling". Family training and counseling for child development, per 15 minutes

Question 2

What category is T1027 in?

Accepted Answer

T1027 belongs to HCPCS Category T (State Medicaid Agency Codes).

Question 3

When should I use HCPCS code T1027?

Accepted Answer

Use T1027 when billing for family training & counseling. 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 T1027 covered by Medicare?

Accepted Answer

Coverage for T1027 (Family training & counseling) 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 T1027?

Accepted Answer

Documentation for T1027 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).