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See a sample rate comparisonHCPCS T1032 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.
Services performed by a doula birth worker, per 15 minutes
| Key Fact | Detail |
|---|---|
| Service Type | National Codes Established for State Medicaid Agencies Doula Birth Worker Services |
| Common Place of Service | None 21 - Inpatient Hospital |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for T1032 |
National average reimbursement for HCPCS T1032 by major payers:
$42.62
$20.21
$49.54
$N/A
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HCPCS T1032
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$25.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$25.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$25.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$25.00Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$25.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS T1032 vs. Other Doula Birth Worker Services Codes
The HCPCS T1032 code is part of the National Codes Established for State Medicaid Agencies services used for Doula Birth Worker Services. 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 T1032 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 |
|---|---|---|
| T1031-HCPCS | Low | Nursing care, in the home, by licensed practical nurse, per diem |
| T1032-HCPCS | Low | Services performed by a doula birth worker, per 15 minutes |
| T1033-HCPCS | Low | Services performed by a doula birth worker, per diem |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS T1032. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the T1032 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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