HCPCS T1022: Contracted Home Health Agency Services, Per Day

HCPCS Level II code T1022 designates a per‑day payment for contracted home health agency services, capturing all services furnished under a contractual arrangement. Nationally, this code matters because it identifies bundled daily care provided in the patient’s home or residential setting and is used in claims to reflect contract-based home health arrangements rather than individual line-item home health visits. Key payers included in this analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will learn what T1022 represents clinically and operationally, which payers commonly accept or process the code, and how the code is applied in the context of home-based care delivery. The publication outlines national benchmarks where available, summarizes relevant policy considerations and billing guidance, and provides clinical context for use of per‑day contracted home health reporting. Data not available in the input for associated taxonomies, ICD‑10 diagnoses, and related codes is noted where applicable.

Customize your policy alerts

Sign up for hcpcs T1022 policy alerts

Get alerted when payer policies referencing T1022 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

HCPCS Level II code T1022 represents contracted home health agency services, all services provided under contract, per day. This code denotes a daily payment for a full range of home health services delivered by a contracted home health agency under a single contract.

Service type: Home health agency services provided under contract, encompassing routine skilled and non-skilled services delivered as part of a contracted arrangement.
Typical site of service: Patient home or residential setting where home health services are furnished under contract.

Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.

Explore openpayer tools

View all tools

HCPCS T1022: Contracted Home Health Agency Services, Per Day

Customize your policy alerts

Sign up for hcpcs T1022 policy alerts

Get alerted when payer policies referencing T1022 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

Service type: Home health agency services provided under contract, encompassing routine skilled and non-skilled services delivered as part of a contracted arrangement.
Typical site of service: Patient home or residential setting where home health services are furnished under contract.

Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.

Clinical & Coding Specifications

Clinical Context

A typical patient is a homebound older adult with multiple chronic conditions (for example, congestive heart failure, advanced chronic obstructive pulmonary disease, or post-acute surgical recovery) enrolled in a contracted home health agency program. The patient requires daily oversight, skilled nursing visits for medication management, wound care, and intermittent therapy services delivered under a contractual arrangement between the home health agency and a payer or provider. The clinical workflow begins with a physician or authorized clinician ordering home health services and certifying the need for skilled care. A contracted home health agency is activated under the contract; an intake nurse conducts an initial home assessment, documents baseline vital signs, medication reconciliation, and develops the plan of care. Daily services billed under T1022 reflect all services provided by the agency on that calendar day under the contract, including skilled nursing visits, therapy visits, homemaker assistance covered under the contract, care coordination, and necessary supplies. Nursing notes, therapy documentation, and progress reports are maintained in the patient record; any skilled encounters supporting medical necessity are dated and signed. Utilization review and billing staff aggregate per-day service details to support the T1022 claim, attaching applicable modifiers for unusual circumstances or cost sharing as required by the payor contract. Typical sites of service are the patient’s private residence, assisted living residence, or licensed group home when services are delivered under the contracted home health agency arrangement.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z74.3`	Need for continuous supervision	Common reason for contracting comprehensive home health daily services when patients require ongoing supervision.
`Z74.01`	Bed confinement status	Relevant for patients who are homebound and receive contracted daily home health services.
`I50.9`	Heart failure, unspecified	Patients with heart failure frequently require daily nursing and monitoring through contracted home health services.
`J44.9`	Chronic obstructive pulmonary disease, unspecified	COPD patients often receive home-based skilled care and respiratory therapy under a daily contract.
`M86.9`	Osteomyelitis, unspecified	Complex wound or infection management at home may be included in contracted daily services for skilled nursing.
`Z51.89`	Encounter for other specified aftercare	Follow-up care after hospitalization or surgery that is delivered under a contracted home health daily service.
`R69`	Illness, unspecified	Used when specific diagnosis is evolving but daily contracted home health oversight is required.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99500`	Home visit for expansion of services (emergency or urgent)	May be performed by agency clinicians for urgent home visits that fall within the contracted daily services billed under `T1022`.
`99501`	Home visit for expansion of services (non-emergency)	Used for non-emergent additional home visits by clinicians that complement the per-day contracted services.
`97597`	Debridement; selective debridement, open wound, without anesthesia	Wound care procedures performed by home health clinicians during the contracted service day; billed separately if payer allows.
`96161`	Developmental testing, first hour (e.g., for case management/screening)	Assessment services that may be provided as part of the multidisciplinary contracted care during a day; bill per payer rules.
`99341`	Home visit for established patient, typically 20 minutes	Face-to-face visits by physicians in the home that may accompany or support home health agency services; billed separately from `T1022` when applicable.
`G0154`	Services performed by a qualified social worker in the home health or hospice setting	Social work or care coordination services delivered under the contract and billed per payer rules, often accompanying `T1022`.

Related Modifiers

8 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
54	Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…	- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
55	Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…	- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
251B00000X	Case Management Agency	An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access…
363L00000X	Nurse Practitioner	(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision mak…
367A00000X	Advanced Practice Midwife	Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproduc…
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
1835G0303X	Geriatric Pharmacist	A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidat…
310400000X	Assisted Living Facility	A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitorin…
332900000X	Non-Pharmacy Dispensing Site	A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. phy…
302F00000X	Exclusive Provider Organization	(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a …

HCPCS Level II T1030: Nursing Care in Home by Registered Nurse, Per Diem

HCPCS-LEVEL-II-T2014-PREVOCATIONAL-HABILITATION-PER-DIEM

HCPCS Level II T2014: Habilitation Prevocational Waiver Per Diem

HCPCS-LEVEL-II-T2020-DAY-HABILITATION-WAIVER-PER-DIEM

HCPCS Level II T2020: Day Habilitation, Waiver; Per Diem

HCPCS-LEVEL-II-T2047-HABILITATION-PREVOCATIONAL-WAIVER

HCPCS Level II T2047: Habilitation Prevocational Waiver Service

HCPCS-LEVEL-II-T4535-DISPOSABLE-INCONTINENCE-LINER-PAD

HCPCS Level II T4535: Disposable Incontinence Liner/Pad

HCPCS-LEVEL-II-T4538-REUSABLE-DIAPER-PER-DIAPER

HCPCS Level II T4538: Diaper Service, Reusable Diaper, Each Diaper

HCPCS-T1000-PRIVATE-DUTY-LICENSED-NURSING-15-MIN

HCPCS T1000: Private Duty Licensed Nursing, 15-Minute Units

HCPCS-T1001-NURSING-ASSESSMENT-EVALUATION

HCPCS T1001: Nursing Assessment / Evaluation

HCPCS-T1002-RN-SERVICES-15-MINUTES

HCPCS T1002: Registered Nurse Services, Up to 15 Minutes

HCPCS-T1003-LPN-LVN-SERVICES-15-MINUTES

HCPCS T1003: LPN/LVN Services, Up to 15 Minutes

Showing 1–10 of 113

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z74.3`	Need for continuous supervision	Common reason for contracting comprehensive home health daily services when patients require ongoing supervision.
`Z74.01`	Bed confinement status	Relevant for patients who are homebound and receive contracted daily home health services.
`I50.9`	Heart failure, unspecified	Patients with heart failure frequently require daily nursing and monitoring through contracted home health services.
`J44.9`	Chronic obstructive pulmonary disease, unspecified	COPD patients often receive home-based skilled care and respiratory therapy under a daily contract.
`M86.9`	Osteomyelitis, unspecified	Complex wound or infection management at home may be included in contracted daily services for skilled nursing.
`Z51.89`	Encounter for other specified aftercare	Follow-up care after hospitalization or surgery that is delivered under a contracted home health daily service.
`R69`	Illness, unspecified	Used when specific diagnosis is evolving but daily contracted home health oversight is required.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99500`	Home visit for expansion of services (emergency or urgent)	May be performed by agency clinicians for urgent home visits that fall within the contracted daily services billed under `T1022`.
`99501`	Home visit for expansion of services (non-emergency)	Used for non-emergent additional home visits by clinicians that complement the per-day contracted services.
`97597`	Debridement; selective debridement, open wound, without anesthesia	Wound care procedures performed by home health clinicians during the contracted service day; billed separately if payer allows.
`96161`	Developmental testing, first hour (e.g., for case management/screening)	Assessment services that may be provided as part of the multidisciplinary contracted care during a day; bill per payer rules.
`99341`	Home visit for established patient, typically 20 minutes	Face-to-face visits by physicians in the home that may accompany or support home health agency services; billed separately from `T1022` when applicable.
`G0154`	Services performed by a qualified social worker in the home health or hospice setting	Social work or care coordination services delivered under the contract and billed per payer rules, often accompanying `T1022`.

Related Modifiers

8 rows

Modifier	Description	When to Use
22	Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…	- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
23	Modifier -23 (Unusual Anesthesia) is used on anesthesia service CPT codes when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia…	- Use modifier -23 only on anesthesia CPT codes (00100–01999) when a procedure that normally requires no anesthesia or only local anesthesia must be performed under general anesthesia because of…
52	Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…	- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
53	Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…	- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
54	Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…	- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
55	Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…	- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
56	Modifier ‑56 indicates the reporting provider furnished only the preoperative management for a surgical procedure and did not perform the intraoperative or postoperative care. It is used in…	- Use Modifier -56 when a provider performs only the preoperative management in a split‑care situation (one physician manages preop care while a different physician performs the intraoperative…
62	Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…	- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…

Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
251B00000X	Case Management Agency	An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access…
363L00000X	Nurse Practitioner	(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision mak…
367A00000X	Advanced Practice Midwife	Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproduc…
207Q00000X	Family Medicine Physician	Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadt…
1835G0303X	Geriatric Pharmacist	A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidat…
310400000X	Assisted Living Facility	A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitorin…
332900000X	Non-Pharmacy Dispensing Site	A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. phy…
302F00000X	Exclusive Provider Organization	(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a …

HCPCS Level II T1030: Nursing Care in Home by Registered Nurse, Per Diem

HCPCS-LEVEL-II-T2014-PREVOCATIONAL-HABILITATION-PER-DIEM

HCPCS Level II T2014: Habilitation Prevocational Waiver Per Diem

HCPCS-LEVEL-II-T2020-DAY-HABILITATION-WAIVER-PER-DIEM

HCPCS Level II T2020: Day Habilitation, Waiver; Per Diem

HCPCS-LEVEL-II-T2047-HABILITATION-PREVOCATIONAL-WAIVER

HCPCS Level II T2047: Habilitation Prevocational Waiver Service

HCPCS-LEVEL-II-T4535-DISPOSABLE-INCONTINENCE-LINER-PAD

HCPCS Level II T4535: Disposable Incontinence Liner/Pad

HCPCS-LEVEL-II-T4538-REUSABLE-DIAPER-PER-DIAPER

HCPCS Level II T4538: Diaper Service, Reusable Diaper, Each Diaper

HCPCS-T1000-PRIVATE-DUTY-LICENSED-NURSING-15-MIN

HCPCS T1000: Private Duty Licensed Nursing, 15-Minute Units

HCPCS-T1001-NURSING-ASSESSMENT-EVALUATION

HCPCS T1001: Nursing Assessment / Evaluation

HCPCS-T1002-RN-SERVICES-15-MINUTES

HCPCS T1002: Registered Nurse Services, Up to 15 Minutes

HCPCS-T1003-LPN-LVN-SERVICES-15-MINUTES

HCPCS T1003: LPN/LVN Services, Up to 15 Minutes

Showing 1–10 of 113

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS T1022: Contracted Home Health Agency Services, Per Day

Sign up for hcpcs T1022 policy alerts

Billing Code Overview

OpenPayer

HCPCS T1022: Contracted Home Health Agency Services, Per Day

Sign up for hcpcs T1022 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

References

HCPCS T1022: Contracted Home Health Agency Services, Per Day

Sign up for hcpcs T1022 policy alerts

Billing Code Overview

HCPCS T1022: Contracted Home Health Agency Services, Per Day

Sign up for hcpcs T1022 policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code T1022 represent?

What documentation is needed to support a T1022 claim?

Which modifiers are commonly used with T1022 and when should they be applied?

Which provider specialties and related codes are associated with services billed under T1022?

In what clinical situations is T1022 typically used and which diagnoses are relevant?

References

Clinical & Coding Specifications

Clinical Context

Related Diagnoses

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related Codes

What does HCPCS code T1022 represent?

What documentation is needed to support a T1022 claim?

Which modifiers are commonly used with T1022 and when should they be applied?

Which provider specialties and related codes are associated with services billed under T1022?

In what clinical situations is T1022 typically used and which diagnoses are relevant?

References