T1026 Pediatric compr care pkg, per hour
Also known as: pediatric care package hourly, hourly pediatric care, pediatric intensive care
Pediatric comprehensive care package providing bundled health services on a per-hour basis for intensive pediatric care.
In Plain Language
hourly children's care service; intensive pediatric care
Clinical Context
Intensive hourly comprehensive care services for children with complex medical needs requiring more intensive support than daily services.
RVU Information
CPT T1026 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 T1026?
CPT T1026 (Pediatric compr care pkg, per hour) is a Other HCPCS code. Pediatric comprehensive care package providing bundled health services on a per-hour basis for intensive pediatric care.
Does Medicare cover T1026?
Medicare coverage for T1026 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Intensive hourly comprehensive care services for children with complex medical needs requiring more intensive support than daily services. A physician order is typically required.
When is CPT T1026 used?
Intensive hourly comprehensive care services for children with complex medical needs requiring more intensive support than daily 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.