Question 1

What is HCPCS code T2035?

Accepted Answer

HCPCS code T2035 is "Utility services waiver". Utility services to support medical equipment and assistive technology/devices, waiver

Question 2

What category is T2035 in?

Accepted Answer

T2035 belongs to HCPCS Category T (State Medicaid Agency Codes).

Question 3

When should I use HCPCS code T2035?

Accepted Answer

Use T2035 when billing for utility services waiver. 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 T2035 covered by Medicare?

Accepted Answer

Coverage for T2035 (Utility services waiver) 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 T2035?

Accepted Answer

Documentation for T2035 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).