Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter
Medicare coverage: Not payable by Medicare
Status: active (October 2026 file)
Medicare pricing for T1024
Physician Fee Schedule (CY 2026, RVU26D)
Status I: not valid for Medicare (Medicare uses another code).
Payer policies and prior authorization for T1024
6 of 6 payer prior-auth lists that name T1024 require prior authorization or set conditions: Molina Healthcare of Iowa, UnitedHealthcare, UnitedHealthcare Community Plan.
Prior authorization required or conditional in IN.
ND: $0.00 (physician), effective Aug 1, 2026
VA: $42.19 (medical, High Intensity), effective Jan 1, 2024
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.