HCPCS Procedure & Supply Codes

State Medicaid Agency Codes

section notes

section notes

T2001				N-et; patient attend/escort
T2002				N-et; per diem
T2003				N-et; encounter/trip
T2004				N-et; commerc carrier pass
T2005				N-et; stretcher van
T2007				Non-emer transport wait time
T2010				Pasrr level i
T2011				Pasrr level ii
T2012				Habil ed waiver, per diem
T2013				Habil ed waiver per hour
T2014				Habil prevoc waiver, per d
T2015				Habil prevoc waiver per hr
T2016				Habil res waiver per diem
T2017				Habil res waiver 15 min
T2018				Habil sup empl waiver/diem
T2019				Habil sup empl waiver 15min
T2020				Day habil waiver per diem
T2021				Day habil waiver per 15 min
T2022				Case management, per month
T2023				Targeted case mgmt per month
T2024				Serv asmnt/care plan waiver
T2025				Waiver service, nos
T2026				Special childcare waiver/d
T2027				Spec childcare waiver 15 min
T2028				Special supply, nos waiver
T2029				Special med equip, noswaiver
T2030				Assist living waiver/month
T2031				Assist living waiver/diem
T2032				Res care, nos waiver/month
T2033				Res, nos waiver per diem
T2034				Crisis interven waiver/diem
T2035				Utility services waiver
T2036				Camp overnite waiver/session
T2037				Camp day waiver/session
T2038				Comm trans waiver/service
T2039				Vehicle mod waiver/service
T2040				Financial mgt waiver/15min
T2041				Support broker waiver/15 min
T2042				Hospice routine home care
T2043				Hospice continuous home care
T2044				Hospice respite care
T2045				Hospice general care
T2046				Hospice long term care, r&b
T2047				Hab prevo waiver per 15
T2048				Bh ltc res r&b, per diem
T2049				N-et; stretcher van, mileage
T2050				Financial mgt waiver/diem
T2051				Support broker waiver/diem
T2101				Breast milk proc/store/dist

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