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HCPCS T1505 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.

Electronic medication compliance management device, includes all components and accessories, not otherwise classified
Key FactDetail
Service Type

National Codes Established for State Medicaid Agencies

Miscellaneous Services and Supplies

Common Place of Service

None

99 - Other POS

Complexity LevelLow
Medicaid Fee ScheduleView Medicaid rates for T1505

National average reimbursement for HCPCS T1505 by major payers:

bcbs

$72.73

uhc

$54.00

aetna

$21.13

cigna

$N/A

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HCPCS T1505

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HCPCS T1505 vs. Other Miscellaneous Services and Supplies Codes

The HCPCS T1505 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 T1505 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.

CodeComplexityDescription
T1503-HCPCSLowAdministration of medication, other than oral and/or injectable, by a health care agency/professional, per visit
T1505-HCPCSLowElectronic medication compliance management device, includes all components and accessories, not otherwise classified
T1999-HCPCSLowMiscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS T1505. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the T1505 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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