T1004 Nsg aide service up to 15min
Also known as: nursing aide visit, CNA visit, aide 15 minute visit
Nursing aide or certified nursing assistant services provided up to 15 minutes for patient care and assistance with activities of daily living.
In Plain Language
home health aide; nursing assistant; personal care helper
Clinical Context
Support services for assistance with activities of daily living, personal hygiene, grooming, and basic patient care under RN supervision.
RVU Information
CPT T1004 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 T1004?
CPT T1004 (Nsg aide service up to 15min) is a Other HCPCS code. Nursing aide or certified nursing assistant services provided up to 15 minutes for patient care and assistance with activities of daily living.
Does Medicare cover T1004?
Medicare coverage for T1004 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Support services for assistance with activities of daily living, personal hygiene, grooming, and basic patient care under RN supervision. A physician order is typically required.
When is CPT T1004 used?
Support services for assistance with activities of daily living, personal hygiene, grooming, and basic patient care under RN supervision.
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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.