Question 1

What is HCPCS code T2013?

Accepted Answer

HCPCS code T2013 is "Habil ed waiver per hour". Habilitation, educational, waiver; per hour

Question 2

What category is T2013 in?

Accepted Answer

T2013 belongs to HCPCS Category T (State Medicaid Agency Codes).

Question 3

When should I use HCPCS code T2013?

Accepted Answer

Use T2013 when billing for habil ed waiver per hour. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is T2013 covered by Medicare?

Accepted Answer

Coverage for T2013 (Habil ed waiver per hour) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for T2013?

Accepted Answer

Documentation for T2013 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).