HCPCS Code T1015: Clinic Visit, All-Inclusive

No. T1015 must be billed along with a qualifying evaluation and management CPT/HCPCS code that specifies the service provided. Claims without the qualifying code will be denied.

T1015 can be billed once per day per member, regardless of the number of providers seen for the same medical problem or general purpose.

Yes. Certain provider types, such as acupuncturists, podiatrists, nutritionists/dieticians, and optometrists, cannot bill T1015. They must bill on a fee-for-service basis using appropriate CPT/HCPCS codes.