HCPCS Codes - Medical Procedures, Supplies & DME Codes - t2 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("t2" Codes):- T2001 nonemergency transportation patient attendantescort HCPCS Code Code
- T2002 nonemergency transportation per diem HCPCS Code Code
- T2003 nonemergency transportation encountertrip HCPCS Code Code
- T2004 nonemergency transport commercial carrier multipass HCPCS Code Code
- T2005 nonemergency transportation stretcher van HCPCS Code Code
- T2006 AMB RESPONSE & TRT, NO TRANS HCPCS Code Code
- T2007 transportation waiting time air ambulance nonemergency HCPCS Code Code
- T2010 preadmission screening resident review pasrr level HCPCS Code Code
- T2011 preadmission screening resident review pasrr level HCPCS Code Code
- T2012 habilitation educational waiver per diem HCPCS Code Code
- T2013 habilitation educational waiver per hour HCPCS Code Code
- T2014 habilitation prevocational waiver per diem HCPCS Code Code
- T2015 habilitation prevocational waiver per hour HCPCS Code Code
- T2016 habilitation residential waiver per diem HCPCS Code Code
- T2017 habilitation residential waiver 15 minutes HCPCS Code Code
- T2018 habilitation supported employment waiver per diem HCPCS Code Code
- T2019 habilitation supported employment waiver per 15 HCPCS Code Code
- T2020 day habilitation waiver per diem HCPCS Code Code
- T2021 day habilitation waiver per 15 minutes HCPCS Code Code
- T2022 case management per month HCPCS Code Code
- T2023 targeted case management per month HCPCS Code Code
- T2024 service assessmentplan care development waiver HCPCS Code Code
- T2025 waiver services not otherwise nos HCPCS Code Code
- T2026 specialized childcare waiver per diem HCPCS Code Code
- T2027 specialized childcare waiver per 15 minutes HCPCS Code Code
- T2028 specialized supply not otherwise waiver HCPCS Code Code
- T2029 specialized medical equipment not otherwise waiver HCPCS Code Code
- T2030 assisted living waiver per month HCPCS Code Code
- T2031 assisted living waiver per diem HCPCS Code Code
- T2032 residential care not otherwise nos waiver HCPCS Code Code
- T2033 residential care not otherwise nos waiver HCPCS Code Code
- T2034 crisis intervention waiver per diem HCPCS Code Code
- T2035 utility services support medical equipment assistive HCPCS Code Code
- T2036 therapeutic camping overnight waiver each session HCPCS Code Code
- T2037 therapeutic camping day waiver each session HCPCS Code Code
- T2038 community transition waiver per service HCPCS Code Code
- T2039 vehicle modifications waiver per service HCPCS Code Code
- T2040 financial management selfdirected waiver per 15 HCPCS Code Code
- T2041 supports brokerage selfdirected waiver per 15 HCPCS Code Code
- T2042 hospice routine home care per diem HCPCS Code Code
- T2043 hospice continuous home care per hour HCPCS Code Code
- T2044 hospice inpatient respite care per diem HCPCS Code Code
- T2045 hospice general inpatient care per diem HCPCS Code Code
- T2046 hospice long term care room board HCPCS Code Code
- T2047 Habilitation, prevocational, waiver; per 15 minutes HCPCS Code Code
- T2048 behavioral health longterm care residential nonacute HCPCS Code Code
- T2049 nonemergency transportation stretcher van mileage per HCPCS Code Code
- T2050 Financial management, self-directed, waiver; per diem HCPCS Code Code
- T2051 Supports brokerage, self-directed, waiver; per diem HCPCS Code Code
- T2101 human breast milk processing storage distribution HCPCS Code Code
Back to list of HCPCS Procedure, Supply & DME Codes
HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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