Wiki T1016 vs T1017

[christinaroseferrone@gmail.com]

Good Day to All,

My question is, what exactly defines "targeted case management" when performed by a Community Recovery Partner? What is the true difference between CPT codes T1016 vs T1017?

Thank you!

 

[thomas7331]

The 'T' codes in HCPCS are codes established for use by individual state's medical agencies (usually Medicaid programs) and they aren't used by most other government plans or commercial payers. There aren't really any guidelines for these codes beyond what a particular state sets up within their programs. If your state or one of your payers asks use to use these, you'll need to look for their published guidance to determine in what situations they want one or the other of these codes billed.

 

[christinaroseferrone@gmail.com]

The 'T' codes in HCPCS are codes established for use by individual state's medical agencies (usually Medicaid programs) and they aren't used by most other government plans or commercial payers. There aren't really any guidelines for these codes beyond what a particular state sets up within their programs. If your state or one of your payers asks use to use these, you'll need to look for their published guidance to determine in what situations they want one or the other of these codes billed.

I appreciate the response Thomas, Thank You!