TR HCPCS Level II modifier: School-based individualized education program (iep) services provided outside the public school district responsible for the student
TR is a HCPCS Level II modifier: “School-based individualized education program (iep) services provided outside the public school district responsible for the student.” It adds this detail to the code it is reported with.
Official description
TRSchool-based individualized education program (iep) services provided outside the public school district responsible for the student
Short description: School-based iep out of dist
HCPCS · United States
Medicare details
The indicators CMS publishes with TR in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Not payable by Medicare
- Added
- Jul 1, 2002
Where TR sits
- 1GroupHCPCS modifiers
- 2Modifier TRSchool-based individualized education program (iep) services provided outside the public school district responsible for the student
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 TR mean?
TR is the HCPCS code for “School-based individualized education program (iep) services provided outside the public school district responsible for the student” in CMS’s HCPCS Level II October 2026 release.
Where is TR in the HCPCS Level II list?
TR is listed under Modifiers.
Does Medicare cover TR?
CMS lists TR’s Medicare coverage as “Not payable by Medicare”. 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 TR
All modifiersTKExtra patient or passenger, non-ambulanceTLEarly intervention/individualized family service plan (ifsp)TMIndividualized education program (iep)TNRural/outside providers' customary service areaTPMedical transport, unloaded vehicleTQBasic life support transport by a volunteer ambulance providerTSFollow-up serviceTTIndividualized service provided to more than one patient in same settingTUSpecial payment rate, overtimeTVSpecial payment rates, holidays/weekendsTWBack-up equipmentU1Medicaid level of care 1, as defined by each state