T1017 Targeted case management
Also known as: targeted case management, disease management, population health management
Targeted case management including assessment and planning for specific populations such as children or elderly with defined needs.
In Plain Language
health care coordination; patient management
Clinical Context
Specialized case management services for specific populations or conditions including coordination of healthcare and social services.
RVU Information
CPT T1017 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 T1017?
CPT T1017 (Targeted case management) is a Other HCPCS code. Targeted case management including assessment and planning for specific populations such as children or elderly with defined needs.
Does Medicare cover T1017?
Medicare coverage for T1017 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Specialized case management services for specific populations or conditions including coordination of healthcare and social services. A physician order is typically required.
When is CPT T1017 used?
Specialized case management services for specific populations or conditions including coordination of healthcare and social services.
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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.