Wiki T1003 - documentation

myGodwalk

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Anyone has any documentation guidance code T1003? This is a very generic code with little to no documentation in HCPCS. Or if you have any documentation on OH state Medicaid as to what documentation supports this code.
 
Table 4-7: SUD RN and LPN Nursing Services SUD Service Provider Type Code Modifier Rate Nursing Services – Individual RN T1002 - $31.92 – provided in the office $41.00 – provided in the community LPN T1003 - $22.54 $29.13 Nursing Services – Group RN T1002 HQ $10.37 Unit Value 15 minutes Permitted POS Individual RN/LPN nursing services - 03, 04, 11, 12, 13, 14, 16, 18, 31, 32, 33, 34, 57, 99 Telehealth allowed with GT modifier for dates of service on and after March 9, 2020. 86 | Page Group RN nursing services – 11 and 57 For T1002 KX – POS 23 is also available GT modifier is required when service rendered via telehealth. RN nursing service to address a crisis Add KX modifier to indicate RN nursing service provided when a patient is experiencing a crisis, as allowable within the practitioner’s scope of practice. KX is not allowable with group RN. This is from the OH State ODM BH Redesign Manual. I haven't really found any documentation guide. We use the code if the nurse contacts a hospital, doctor, pharmacy or does any other small nursing item.
 
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