| T1000 | Private duty / independent nursing service(s) - licensed, up to 15 minutes |
| T1001 | Nursing assessment / evaluation |
| T1002 | Rn services, up to 15 minutes |
| T1003 | Lpn/lvn services, up to 15 minutes |
| T1004 | Services of a qualified nursing aide, up to 15 minutes |
| T1005 | Respite care services, up to 15 minutes |
| T1006 | Alcohol and/or substance abuse services, family/couple counseling |
| T1007 | Alcohol and/or substance abuse services, treatment plan development and/or modification |
| T1009 | Child sitting services for children of the individual receiving alcohol and/or substance abuse services |
| T1010 | Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program) |
| T1012 | Alcohol and/or substance abuse services, skills development |
| T1013 | Sign language or oral interpretive services, per 15 minutes |
| T1014 | Telehealth transmission, per minute, professional services bill separately |
| T1015 | Clinic visit/encounter, all-inclusive |
| T1016 | Case management, each 15 minutes |
| T1017 | Targeted case management, each 15 minutes |
| T1018 | School-based individualized education program (iep) services, bundled |
| 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) |
| 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) |
| T1021 | Home health aide or certified nurse assistant, per visit |
| T1022 | Contracted home health agency services, all services provided under contract, per day |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter |
| T1024 | Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter |
| T1025 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem |
| T1026 | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, medical and psychosocial impairments, per hour |
| T1027 | Family training and counseling for child development, per 15 minutes |
| T1028 | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
| T1029 | Comprehensive environmental lead investigation, not including laboratory analysis, per dwelling |
| T1030 | Nursing care, in the home, by registered nurse, per diem |
| T1031 | Nursing care, in the home, by licensed practical nurse, per diem |
| T1032 | Services performed by a doula birth worker, per 15 minutes |
| T1033 | Services performed by a doula birth worker, per diem |
| T1040 | Medicaid certified community behavioral health clinic services, per diem |
| T1041 | Medicaid certified community behavioral health clinic services, per month |
| T1502 | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
| T1503 | Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit |
| T1505 | Electronic medication compliance management device, includes all components and accessories, not otherwise classified |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" |
| T2001 | Non-emergency transportation; patient attendant/escort |
| T2002 | Non-emergency transportation; per diem |
| T2003 | Non-emergency transportation; encounter/trip |
| T2004 | Non-emergency transport; commercial carrier, multi-pass |
| T2005 | Non-emergency transportation; stretcher van |
| T2007 | Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
| T2010 | Preadmission screening and resident review (pasrr) level i identification screening, per screen |
| T2011 | Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation |
| T2012 | Habilitation, educational; waiver, per diem |
| T2013 | Habilitation, educational, waiver; per hour |
| T2014 | Habilitation, prevocational, waiver; per diem |
| T2015 | Habilitation, prevocational, waiver; per hour |
| T2016 | Habilitation, residential, waiver; per diem |
| T2017 | Habilitation, residential, waiver; 15 minutes |
| T2018 | Habilitation, supported employment, waiver; per diem |
| T2019 | Habilitation, supported employment, waiver; per 15 minutes |
| T2020 | Day habilitation, waiver; per diem |
| T2021 | Day habilitation, waiver; per 15 minutes |
| T2022 | Case management, per month |
| T2023 | Targeted case management; per month |
| T2024 | Service assessment/plan of care development, waiver |
| T2025 | Waiver services; not otherwise specified (nos) |
| T2026 | Specialized childcare, waiver; per diem |
| T2027 | Specialized childcare, waiver; per 15 minutes |
| T2028 | Specialized supply, not otherwise specified, waiver |
| T2029 | Specialized medical equipment, not otherwise specified, waiver |
| T2030 | Assisted living, waiver; per month |
| T2031 | Assisted living; waiver, per diem |
| T2032 | Residential care, not otherwise specified (nos), waiver; per month |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem |
| T2034 | Crisis intervention, waiver; per diem |
| T2035 | Utility services to support medical equipment and assistive technology/devices, waiver |
| T2036 | Therapeutic camping, overnight, waiver; each session |
| T2037 | Therapeutic camping, day, waiver; each session |
| T2038 | Community transition, waiver; per service |
| T2039 | Vehicle modifications, waiver; per service |
| T2040 | Financial management, self-directed, waiver; per 15 minutes |
| T2041 | Supports brokerage, self-directed, waiver; per 15 minutes |
| T2042 | Hospice routine home care; per diem |
| T2043 | Hospice continuous home care; per hour |
| T2044 | Hospice inpatient respite care; per diem |
| T2045 | Hospice general inpatient care; per diem |
| T2046 | Hospice long term care, room and board only; per diem |
| T2047 | Habilitation, prevocational, waiver; per 15 minutes |
| 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 |
| T2049 | Non-emergency transportation; stretcher van, mileage; per mile |
| T2050 | Financial management, self-directed, waiver; per diem |
| T2051 | Supports brokerage, self-directed, waiver; per diem |
| T2101 | Human breast milk processing, storage and distribution only |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
| T4529 | Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each |
| T4531 | Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each |
| T4533 | Youth sized disposable incontinence product, brief/diaper, each |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each |
| T4536 | Incontinence product, protective underwear/pull-on, reusable, any size, each |
| T4537 | Incontinence product, protective underpad, reusable, bed size, each |
| T4538 | Diaper service, reusable diaper, each diaper |
| T4539 | Incontinence product, diaper/brief, reusable, any size, each |
| T4540 | Incontinence product, protective underpad, reusable, chair size, each |
| T4541 | Incontinence product, disposable underpad, large, each |
| T4542 | Incontinence product, disposable underpad, small size, each |
| T4543 | Adult sized disposable incontinence product, protective brief/diaper, above extra large, each |
| T4544 | Adult sized disposable incontinence product, protective underwear/pull-on, above extra large, each |
| T4545 | Incontinence product, disposable, penile wrap, each |
| T5001 | Positioning seat for persons with special orthopedic needs |
| T5999 | Supply, not otherwise specified |
