T1007 Treatment plan development
Also known as: treatment plan, care plan development, individualized education program update
Treatment plan development, review, or update by a multidisciplinary team or licensed clinician.
In Plain Language
care plan; treatment planning; health plan
Clinical Context
Development and documentation of comprehensive individualized treatment or service plans addressing patient goals, interventions, and progress monitoring.
RVU Information
CPT T1007 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 T1007?
CPT T1007 (Treatment plan development) is a Other HCPCS code. Treatment plan development, review, or update by a multidisciplinary team or licensed clinician.
Does Medicare cover T1007?
Medicare coverage for T1007 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Development and documentation of comprehensive individualized treatment or service plans addressing patient goals, interventions, and progress monitoring. A physician order is typically required.
When is CPT T1007 used?
Development and documentation of comprehensive individualized treatment or service plans addressing patient goals, interventions, and progress monitoring.
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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.