| Program Name: | BadgerCare Plus and Medicaid | Handbook Area: | Personal Care | | 05/19/2024 | Covered and Noncovered Services : CodesTopic #2481 Procedure Codes and Modifiers
Personal Care Services
Personal care providers are required to use the appropriate CPT or HCPCS procedure code from the following table that describes the service performed. The modifiers providers are required to use with procedure codes are also listed.
| Procedure Code |
Description |
Required Modifier |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, ICF/MR or IMD, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
None |
| T1019 |
Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, ICF/MR or IMD, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) |
U3 — Travel time |
| 99509 |
Home visit for assistance with activities of daily living and personal care (per visit) |
TD — Registered Nurse |
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