T1016 – Case management, each 15 minutes
HCPCS Level II code · T codes: National Codes Established for State Medicaid Agencies
HCPCS codeT1016
- Long description
- Case management, each 15 minutes
- Short description
- Case management
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
INot payable by Medicare- BETOS category
Z2Undefined codes- Added
- July 1, 2002
- Last change
- July 1, 2002 – No change
Frequently asked questions
What is HCPCS code T1016?
T1016 is a HCPCS Level II code for case management, each 15 minutes.
Does Medicare cover T1016?
The HCPCS file lists coverage code I: Not payable by Medicare. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby T codes
- T1006 – Alcohol and/or substance abuse services, family/couple counseling
- T1007 – Alcohol and/or substance abuse services, treatment plan development and/or modification
- T1009 – Child sitting services for children of the individual receiving alcohol and/or substance abuse services
- T1010 – Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)
- T1012 – Alcohol and/or substance abuse services, skills development
- T1013 – Sign language or oral interpretive services, per 15 minutes
- T1014 – Telehealth transmission, per minute, professional services bill separately
- T1015 – Clinic visit/encounter, all-inclusive
- T1017 – Targeted case management, each 15 minutes
- T1018 – School-based individualized education program (iep) services, bundled
- T1019 – Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)
- T1020 – Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)
- T1021 – Home health aide or certified nurse assistant, per visit
- T1022 – Contracted home health agency services, all services provided under contract, per day
- T1023 – Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter
- T1024 – Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.