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T1031 HCPCS Level II code: Nursing care, in the home, by licensed practical nurse, per diem

T1031 is the HCPCS code for “Nursing care, in the home, by licensed practical nurse, per diem” in CMS’s October 2026 release, in effect from Oct 1, 2026.

Official description

T1031

Nursing care, in the home, by licensed practical nurse, per diem

Short description: Lpn home care per diem

HCPCS · United States

Medicare details

The indicators CMS publishes with T1031 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 T1031 sits

  1. 1T codesState Medicaid agency codes
  2. 2Active code T1031Nursing care, in the home, by licensed practical nurse, per diem

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.

See T1031 in the CMS source

Frequently asked questions

What does HCPCS code T1031 mean?

T1031 is the HCPCS code for “Nursing care, in the home, by licensed practical nurse, per diem” in CMS’s HCPCS Level II October 2026 release.

Does Medicare cover T1031?

CMS lists T1031’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 T1031

T1025Intensive, 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 minutesT1028Assessment of home, physical and family environment, to determine suitability to meet patient's medical needsT1029Comprehensive environmental lead investigation, not including laboratory analysis, per dwellingT1030Nursing care, in the home, by registered 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 diemT1041Medicaid certified community behavioral health clinic services, per monthT1502Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visitT1503Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit