TMPPM 2008 > Texas Medicaid Services > School Health and Related Services (SHARS) > Benefits and Limitations

    
 

42.6.9.1 Personal Care Services Billing Table

POS*
Procedure Code
Individual or Group
Unit of Service

1, 2, or 9

T1019 with modifier U5

Individual, school

15 minutes

1, 2, or 9

T1019 with modifier U5-UD

Group, school

15 minutes

1, 2, or 9

T1019 with modifier U6

Individual, bus

Per one-way trip

1, 2, or 9

T1019 with modifier U6-UD

Group, bus

Per one-way trip

*Place of Service: 1=office/school; 2=home; 9=other locations

Refer to: "Billing Units Based on 15 Minutes" .

The recommended maximum billable units for 1-T1019 with modifier U6 or 1-T1019 with modifier U6-UD is a cumulative of four one-way trips per day. Providers must submit documentation of the reasons for the additional time, if more than the recommended units of service are billed.

Texas Medicaid & Healthcare Partnership
CPT only copyright 2007 American Medical Association. All rights reserved.
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