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See a sample rate comparisonHCPCS T1027 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Family training and counseling for child development, per 15 minutes
| Key Fact | Detail |
|---|---|
| Service Type | National Codes Established for State Medicaid Agencies Screenings, Assessments, and Treatments, Individual and Family |
| Common Place of Service | None 99 - Other POS |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for T1027 |
National average reimbursement for HCPCS T1027 by major payers:
$48.31
$30.34
$4.87
$13.69
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HCPCS T1027
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$10.12Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$10.12Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$10.12Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$10.12Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$10.12Published rate
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See a sample payer proposalHCPCS T1027 vs. Other Screenings, Assessments, and Treatments, Individual and Family Codes
The HCPCS T1027 code is part of the National Codes Established for State Medicaid Agencies services used for Screenings, Assessments, and Treatments, Individual and Family. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS T1027 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| T1026-HCPCS | Low | Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour |
| T1027-HCPCS | Low | Family training and counseling for child development, per 15 minutes |
| T1028-HCPCS | Low | Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS T1027. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the T1027 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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