T1023 Program intake assessment
Also known as: intake assessment, program assessment, initial evaluation
Program intake assessment or initial evaluation performed by clinician to establish baseline and determine service eligibility and needs.
In Plain Language
initial program evaluation; health intake assessment
Clinical Context
Initial comprehensive assessment at program entry to establish baseline functioning, identify needs, determine service level, and develop treatment goals.
RVU Information
CPT T1023 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 T1023?
CPT T1023 (Program intake assessment) is a Other HCPCS code. Program intake assessment or initial evaluation performed by clinician to establish baseline and determine service eligibility and needs.
Does Medicare cover T1023?
Medicare coverage for T1023 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Initial comprehensive assessment at program entry to establish baseline functioning, identify needs, determine service level, and develop treatment goals. A physician order is typically required.
When is CPT T1023 used?
Initial comprehensive assessment at program entry to establish baseline functioning, identify needs, determine service level, and develop treatment goals.
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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.