T1031 Lpn home care per diem
Also known as: LPN home care per diem, LVN home care, licensed nurse home visit
Licensed practical nurse or licensed vocational nurse home care services provided on a per-diem basis.
In Plain Language
home nurse visit; licensed nurse home care
Clinical Context
Skilled nursing care provided in home by LPN/LVN including wound care, medication administration, and routine nursing assessments.
RVU Information
CPT T1031 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 T1031?
CPT T1031 (Lpn home care per diem) is a Other HCPCS code. Licensed practical nurse or licensed vocational nurse home care services provided on a per-diem basis.
Does Medicare cover T1031?
Medicare coverage for T1031 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Skilled nursing care provided in home by LPN/LVN including wound care, medication administration, and routine nursing assessments. A physician order is typically required.
When is CPT T1031 used?
Skilled nursing care provided in home by LPN/LVN including wound care, medication administration, and routine nursing assessments.
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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.