T1001 Nursing assessment/evaluatn
Also known as: RN assessment, nursing evaluation, nurse assessment
Registered nurse assessment, evaluation, or consultation including comprehensive health history and physical examination.
In Plain Language
nurse evaluation; nursing check-up; health assessment by nurse
Clinical Context
Initial or periodic skilled nursing assessment and evaluation to develop or revise nursing care plans and establish baseline health status.
RVU Information
CPT T1001 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
This HCPCS code requires documentation of medical necessity and a valid physician order. Coverage and reimbursement policies vary by payer. Check with the specific insurer for prior authorization requirements.
Specialties
Frequently Asked Questions
What is CPT code T1001?
CPT T1001 (Nursing assessment/evaluatn) is a Other HCPCS code. Registered nurse assessment, evaluation, or consultation including comprehensive health history and physical examination.
Does Medicare cover T1001?
Medicare coverage for T1001 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Initial or periodic skilled nursing assessment and evaluation to develop or revise nursing care plans and establish baseline health status. A physician order is typically required.
When is CPT T1001 used?
Initial or periodic skilled nursing assessment and evaluation to develop or revise nursing care plans and establish baseline health status.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national data — all in one app.
CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.