HCPCS Level II · National codes established for state Medicaid agencies
T1028Assessment of home, physical and family environment, to determine suitability to meet patient's medical needs
✓ Active
Source: CMS HCPCS quarterly update, October 2026. Page updated September 29, 2026.
About T1028
T1028 is an HCPCS Level II code in the T series (national codes established for state Medicaid agencies), describing assessment of home, physical and family environment, to determine suitability to meet patient's medical needs.
It was added to HCPCS effective 01/01/2003.
Its Medicare coverage code is "I", meaning it is not payable by Medicare (another code or method is used).
Details
- Short description
- Home environment assessment
- Date added
- 01/01/2003
- Action effective
- 01/01/2003
- BETOS
- Z2
Related T10xx codes
- T1000Private duty / independent nursing service(s) - licensed, up to 15 minutes
- T1001Nursing assessment / evaluation
- T1002Rn services, up to 15 minutes
- T1003Lpn/lvn services, up to 15 minutes
- T1004Services of a qualified nursing aide, up to 15 minutes
- T1005Respite care services, up to 15 minutes
- T1006Alcohol and/or substance abuse services, family/couple counseling
- T1007Alcohol and/or substance abuse services, treatment plan development and/or modification
- T1009Child sitting services for children of the individual receiving alcohol and/or substance abuse services
- T1010Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program)
- T1012Alcohol and/or substance abuse services, skills development
- T1013Sign language or oral interpretive services, per 15 minutes
Common questions about T1028
Is HCPCS T1028 still valid?
- Yes. T1028 is active in the CMS October 2026 HCPCS file.
Does Medicare cover T1028?
- Its coverage code is "I": it is not payable by Medicare (another code or method is used). Check the local coverage determination for your region.