HCPCS T-Codes
Established for State Medical Agencies

  • T2016

    Habilitation, residential, waiver; per diem

  • T2017

    Habilitation, residential, waiver; 15 minutes

  • T2018

    Habilitation, supported employment, waiver; per diem

  • T2019

    Habilitation, supported employment, waiver; per 15 minutes

  • T2020

    Day habilitation, waiver; per diem

  • T2021

    Day habilitation, waiver; per 15 minutes

  • T2022

    Case management, per month

  • T2023

    Targeted case management; per month

  • T2024

    Service assessment/plan of care development, waiver

  • T2025

    Waiver services; not otherwise specified (nos)
  • Continued

  • T2026

    Specialized childcare, waiver; per diem

  • T2027

    Specialized childcare, waiver; per 15 minutes

  • T2028

    Specialized supply, not otherwise specified, waiver

  • T2029

    Specialized medical equipment, not otherwise specified, waiver

  • T2030

    Assisted living, waiver; per month

  • T2031

    Assisted living; waiver, per diem

  • T2032

    Residential care, not otherwise specified (nos), waiver; per month

  • T2033

    Residential care, not otherwise specified (nos), waiver; per diem

  • T2034

    Crisis intervention, waiver; per diem

  • T2035

    Utility services to support medical equipment and assistive technology/devices, waiver

  • T2036

    Therapeutic camping, overnight, waiver; each session

  • T2037

    Therapeutic camping, day, waiver; each session

  • T2038

    Community transition, waiver; per service

  • T2039

    Vehicle modifications, waiver; per service

  • T2040

    Financial management, self-directed, waiver; per 15 minutes

  • T2041

    Supports brokerage, self-directed, waiver; per 15 minutes

  • T2042

    Hospice routine home care; per diem

  • T2043

    Hospice continuous home care; per hour

  • T2044

    Hospice inpatient respite care; per diem

  • T2045

    Hospice general inpatient care; per diem
  • Continued

  • T2046

    Hospice long term care, room and board only; per diem

  • T2047

    Habilitation, prevocational, waiver; per 15 minutes

  • T2048

    Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem

  • T2049

    Non-emergency transportation; stretcher van, mileage; per mile

  • T2050

    Financial management, self-directed, waiver; per diem

  • T2051

    Supports brokerage, self-directed, waiver; per diem

  • T2101

    Human breast milk processing, storage and distribution only

  • T4521

    Adult sized disposable incontinence product, brief/diaper, small, each

  • T4522

    Adult sized disposable incontinence product, brief/diaper, medium, each

  • T4523

    Adult sized disposable incontinence product, brief/diaper, large, each

  • T4524

    Adult sized disposable incontinence product, brief/diaper, extra large, each

  • T4525

    Adult sized disposable incontinence product, protective underwear/pull-on, small size, each

  • T4526

    Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each

  • T4527

    Adult sized disposable incontinence product, protective underwear/pull-on, large size, each

  • T4528

    Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each

  • T4529

    Pediatric sized disposable incontinence product, brief/diaper, small/medium size, each

  • T4530

    Pediatric sized disposable incontinence product, brief/diaper, large size, each

  • T4531

    Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each

  • T4532

    Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each

  • T4533

    Youth sized disposable incontinence product, brief/diaper, each