HCPCS Code T1001: Nursing Assessment/Evaluation

Learn about HCPCS Code T1001 for nursing assessments and evaluations, including billing requirements, documentation, and guidance for accurate reimbursement.

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Frequently asked questions

T1001 services are typically performed by a registered nurse (RN) or LPN. In some cases, other licensed professionals may be involved if state regulations allow. The assessment must be within the provider’s scope of practice and documented in full to support claims.

No. T1001 only covers the nursing assessment or evaluation itself. Any medical equipment or supplies utilized during the visit should be billed separately under the appropriate HCPCS or CPT codes. Providers can refer to the HCPCS Level II table to identify the correct billing code for related equipment.

Documentation must clearly state the reason the service was performed, the findings, and the plan of care. If additional services were performed at the same visit, they should be billed under separate codes. Providers should also use the HCPCS code table to confirm correct coding for each service and ensure claims are submitted with all required details.