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T1019 Personal care ser per 15 minutes

Other HCPCS

Also known as: personal care service, ADL assistance, personal care aide

Personal care services including assistance with activities of daily living provided in 15-minute increments.

In Plain Language

personal care help; hygiene assistance; daily living help

Clinical Context

Non-medical assistance with activities of daily living including bathing, grooming, dressing, and toileting for individuals unable to perform independently.

RVU Information

CPT T1019 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

Home HealthSocial WorkCase Management

Frequently Asked Questions

What is CPT code T1019?

CPT T1019 (Personal care ser per 15 minutes) is a Other HCPCS code. Personal care services including assistance with activities of daily living provided in 15-minute increments.

Does Medicare cover T1019?

Medicare coverage for T1019 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Non-medical assistance with activities of daily living including bathing, grooming, dressing, and toileting for individuals unable to perform independently. A physician order is typically required.

When is CPT T1019 used?

Non-medical assistance with activities of daily living including bathing, grooming, dressing, and toileting for individuals unable to perform independently.

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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.