T2023 Targeted case management per month
Also known as: Targeted case management, TCM services
Targeted case management services under waiver program, billed per month. Specialized intensive case management providing focused advocacy and service coordination for specific populations with complex needs.
In Plain Language
Specialized care coordination; Focused support services
Clinical Context
Monthly specialized case management for individuals with specific health or social conditions requiring intensive service coordination, advocacy, and care planning tailored to complex needs.
RVU Information
CPT T2023 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 T2023?
CPT T2023 (Targeted case management per month) is a Other HCPCS code. Targeted case management services under waiver program, billed per month. Specialized intensive case management providing focused advocacy and service coordination for specific populations with complex needs.
Does Medicare cover T2023?
Medicare coverage for T2023 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Monthly specialized case management for individuals with specific health or social conditions requiring intensive service coordination, advocacy, and care planning tailored to complex needs. A physician order is typically required.
When is CPT T2023 used?
Monthly specialized case management for individuals with specific health or social conditions requiring intensive service coordination, advocacy, and care planning tailored to complex needs.
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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.