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See a sample rate comparisonHCPCS T1502 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.
Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit
| Key Fact | Detail |
|---|---|
| Service Type | National Codes Established for State Medicaid Agencies Miscellaneous Services and Supplies |
| Common Place of Service | None 11 - Office 57 - Non-residential Substance Abuse Treatment Facility |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for T1502 |
National average reimbursement for HCPCS T1502 by major payers:
$42.95
$42.29
$3.19
$1.79
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HCPCS T1502
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See a sample payer proposalHCPCS T1502 vs. Other Miscellaneous Services and Supplies Codes
The HCPCS T1502 code is part of the National Codes Established for State Medicaid Agencies services used for Miscellaneous Services and Supplies. 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 T1502 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 |
|---|---|---|
| T1041-HCPCS | Moderate | Medicaid certified community behavioral health clinic services, per month |
| T1502-HCPCS | Low | Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit |
| T1503-HCPCS | Low | Administration of medication, other than oral and/or injectable, by a health care agency/professional, per visit |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS T1502. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the T1502 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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