T1027 Family training & counselingFamily training and counseling for child development, per 15 minutes
Status I: not valid for Medicare (Medicare uses another code).
3 of 4 payer prior-auth lists that name T1027 require prior authorization or set conditions: Blue Cross and Blue Shield of Texas, Molina Healthcare of Michigan.
| Payer | Plan | State | Prior auth | Conditions | Since | Source |
|---|---|---|---|---|---|---|
| Blue Cross and Blue Shield of Texas | Texas PA exemption (gold card), outpatient, fully insured | TX | prior auth required | Gold-card exemption available | Jul 1, 2026 | BCBSTX Outpatient Prior Authorization Exemption Clinical Guidelines (max units, PA exempt date range) |
| Molina Healthcare of Michigan | Exchange | MI | prior auth required | Jul 1, 2021 | Molina Healthcare of Michigan PA Matrix, effective 7/1/2021 | |
| Molina Healthcare of Michigan | Exchange | MI | prior auth under conditions | PA only with autism dx | Jul 1, 2021 | Molina Healthcare of Michigan PA Matrix, effective 7/1/2021 |
T1027 appears in 1 coverage policy from Premera Blue Cross.
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Premera Blue Cross | Non-covered Services and Procedures Page | 21 of 30 | ∞ | not covered | Jun 1, 2026 | payer document |
Prior authorization required or conditional in WY.
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.