T1040 Comm bh clinic service per diem
Also known as: community mental health clinic, CMHC services, mental health clinic visit
Community mental health clinic services providing psychiatric evaluation, treatment, and counseling on a per-diem basis.
In Plain Language
mental health clinic; community mental health service
Clinical Context
Comprehensive community-based mental health services including psychiatric assessment, individual/group therapy, and medication management.
RVU Information
CPT T1040 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 T1040?
CPT T1040 (Comm bh clinic service per diem) is a Other HCPCS code. Community mental health clinic services providing psychiatric evaluation, treatment, and counseling on a per-diem basis.
Does Medicare cover T1040?
Medicare coverage for T1040 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Comprehensive community-based mental health services including psychiatric assessment, individual/group therapy, and medication management. A physician order is typically required.
When is CPT T1040 used?
Comprehensive community-based mental health services including psychiatric assessment, individual/group therapy, and medication management.
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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.