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HCPCS Range Home Health Services

• 1 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) ( T1019 )

• 2 Personal care services, per diem, 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) ( T1020 )

• 3 Home health aide or certified nurse assistant, per visit ( T1021 )

• 4 Contracted home health agency services, all services provided under contract, per day ( T1022 )