T1015 Clinic service
Also known as: clinic service, ambulatory clinic visit, outpatient clinic
Clinic services including diagnostic testing, evaluation, or treatment provided in a facility-based ambulatory setting.
In Plain Language
clinic visit; doctor's office visit
Clinical Context
Ambulatory health services provided in a clinic setting including preventive, diagnostic, therapeutic, and rehabilitative care.
RVU Information
CPT T1015 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 T1015?
CPT T1015 (Clinic service) is a Other HCPCS code. Clinic services including diagnostic testing, evaluation, or treatment provided in a facility-based ambulatory setting.
Does Medicare cover T1015?
Medicare coverage for T1015 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Ambulatory health services provided in a clinic setting including preventive, diagnostic, therapeutic, and rehabilitative care. A physician order is typically required.
When is CPT T1015 used?
Ambulatory health services provided in a clinic setting including preventive, diagnostic, therapeutic, and rehabilitative care.
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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.