T1004 — Services of a qualified nursing aide, up to 15 minutes
T1004 is a HCPCS Level II code for services of a qualified nursing aide, up to 15 minutes. It belongs to the National Codes for State Medicaid Agencies section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusI
Not valid for Medicare purposes. Medicare uses another code.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for T1004
- Long descriptor
- Services of a qualified nursing aide, up to 15 minutes
- Short descriptor
- Nsg aide service up to 15min
- Added
- July 1, 2001
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to T1004
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If T1004 is not quite right, the correct code is very often within a few positions of it.
- S9992Transportation costs to and from trial location and local transportation costs (e.g., fares for taxicab or bus) for clinical trial participant and one caregiver/companion
- S9994Lodging costs (e.g., hotel charges) for clinical trial participant and one caregiver/companion
- S9996Meals for clinical trial participant and one caregiver/companion
- S9999Sales tax
- 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
- 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
- T1014Telehealth transmission, per minute, professional services bill separately
Questions about T1004
What is HCPCS code T1004?
T1004 is a HCPCS Level II code for services of a qualified nursing aide, up to 15 minutes. It sits in the National Codes for State Medicaid Agencies section.
Does Medicare cover T1004?
The CMS HCPCS file marks T1004 as "Not payable by Medicare". Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
How is T1004 paid under the physician fee schedule?
T1004 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.