T1025 Pediatric compr care pkg, per diem
Also known as: pediatric care package, child comprehensive care, pediatric bundle
Pediatric comprehensive care package providing bundled health services on a per-diem basis for children.
In Plain Language
children's health package; comprehensive child care
Clinical Context
Comprehensive care services for children with complex or chronic conditions including primary, specialty, and supportive services.
RVU Information
CPT T1025 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 T1025?
CPT T1025 (Pediatric compr care pkg, per diem) is a Other HCPCS code. Pediatric comprehensive care package providing bundled health services on a per-diem basis for children.
Does Medicare cover T1025?
Medicare coverage for T1025 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Comprehensive care services for children with complex or chronic conditions including primary, specialty, and supportive services. A physician order is typically required.
When is CPT T1025 used?
Comprehensive care services for children with complex or chronic conditions including primary, specialty, and supportive 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.