T1016 HCPCS Level II code: Case management, each 15 minutes
T1016 is the HCPCS code for “Case management, each 15 minutes” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
T1016Case management, each 15 minutes
Short description: Case management
HCPCS · United States
Medicare details
The indicators CMS publishes with T1016 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Not payable by Medicare
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Other medical items or services
- BETOS category
- Undefined codes
- Added
- Jul 1, 2002
Where T1016 sits
- 1T codesState Medicaid agency codes
- 2Active code T1016Case management, each 15 minutes
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code T1016 mean?
T1016 is the HCPCS code for “Case management, each 15 minutes” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover T1016?
CMS lists T1016’s Medicare coverage as “Not payable by Medicare” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside T1016
All T codesT1009Child sitting services for children of the individual receiving alcohol and/or substance abuse servicesT1010Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)T1012Alcohol and/or substance abuse services, skills developmentT1013Sign language or oral interpretive services, per 15 minutesT1014Telehealth transmission, per minute, professional services bill separatelyT1015Clinic visit/encounter, all-inclusiveT1017Targeted case management, each 15 minutesT1018School-based individualized education program (iep) services, bundledT1019Personal 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…T1020Personal 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…T1021Home health aide or certified nurse assistant, per visitT1022Contracted home health agency services, all services provided under contract, per day