T1028 HCPCS Level II code: Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs
T1028 is the HCPCS code for “Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
T1028Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs
Short description: Home environment assessment
HCPCS · United States
Medicare details
The indicators CMS publishes with T1028 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
- Jan 1, 2003
Where T1028 sits
- 1T codesState Medicaid agency codes
- 2Active code T1028Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs
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 T1028 mean?
T1028 is the HCPCS code for “Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover T1028?
CMS lists T1028’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 T1028
All T codesT1022Contracted home health agency services, all services provided under contract, per dayT1023Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounterT1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounterT1025Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diemT1026Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hourT1027Family training and counseling for child development, per 15 minutesT1029Comprehensive environmental lead investigation, not including laboratory analysis, per dwellingT1030Nursing care, in the home, by registered nurse, per diemT1031Nursing care, in the home, by licensed practical nurse, per diemT1032Services performed by a doula birth worker, per 15 minutesT1033Services performed by a doula birth worker, per diemT1040Medicaid certified community behavioral health clinic services, per diem