T1018 — School-based individualized education program (iep) services, bundled
T1018 is a HCPCS Level II code for school-based individualized education program (iep) services, bundled. 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
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The CMS record for T1018
- Long descriptor
- School-based individualized education program (iep) services, bundled
- Short descriptor
- School-based iep ser bundled
- Added
- July 1, 2002
- 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 T1018
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If T1018 is not quite right, the correct code is very often within a few positions of it.
- 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
- T1015Clinic visit/encounter, all-inclusive
- T1016Case management, each 15 minutes
- T1017Targeted case management, each 15 minutes
- T1019Personal care services, per 15 minutes, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)
- T1020Personal care services, per diem, not for an inpatient or resident of a hospital, nursing facility, icf/mr or imd, part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant)
- T1021Home health aide or certified nurse assistant, per visit
- T1022Contracted home health agency services, all services provided under contract, per day
- T1023Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter
- T1024Evaluation and treatment by an integrated, specialty team contracted to provide coordinated care to multiple or severely handicapped children, per encounter
- T1025Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per diem
- T1026Intensive, extended multidisciplinary services provided in a clinic setting to children with complex medical, physical, mental and psychosocial impairments, per hour
Questions about T1018
What is HCPCS code T1018?
T1018 is a HCPCS Level II code for school-based individualized education program (iep) services, bundled. It sits in the National Codes for State Medicaid Agencies section.
Does Medicare cover T1018?
The CMS HCPCS file marks T1018 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 T1018 paid under the physician fee schedule?
T1018 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.