T2022 Case management, per month
Also known as: Case management, Care coordination
Case management services under waiver program, billed per month. Coordination and advocacy services to assess needs, develop care plans, and facilitate access to health and social services.
In Plain Language
Care coordination services; Help navigating health and support services
Clinical Context
Monthly case management providing individualized assessment, service coordination, and advocacy for vulnerable populations including individuals with developmental disabilities or chronic health conditions.
RVU Information
CPT T2022 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 T2022?
CPT T2022 (Case management, per month) is a Other HCPCS code. Case management services under waiver program, billed per month. Coordination and advocacy services to assess needs, develop care plans, and facilitate access to health and social services.
Does Medicare cover T2022?
Medicare coverage for T2022 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Monthly case management providing individualized assessment, service coordination, and advocacy for vulnerable populations including individuals with developmental disabilities or chronic health conditions. A physician order is typically required.
When is CPT T2022 used?
Monthly case management providing individualized assessment, service coordination, and advocacy for vulnerable populations including individuals with developmental disabilities or chronic health conditions.
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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.