Question 1

What is HCPCS code T2046?

Accepted Answer

HCPCS code T2046 is "Hospice long term care, r&b". Hospice long term care, room and board only; per diem

Question 2

What category is T2046 in?

Accepted Answer

T2046 belongs to HCPCS Category T (State Medicaid Agency Codes).

Question 3

When should I use HCPCS code T2046?

Accepted Answer

Use T2046 when billing for hospice long term care, r&b. 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 T2046 covered by Medicare?

Accepted Answer

Coverage for T2046 (Hospice long term care, r&b) 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 T2046?

Accepted Answer

Documentation for T2046 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).