| T2 |
Left foot, third digit |
Left foot, third digit |
| T2001 |
N-et; patient attend/escort |
Non-emergency transportation; patient attendant/escort |
| T2002 |
N-et; per diem |
Non-emergency transportation; per diem |
| T2003 |
N-et; encounter/trip |
Non-emergency transportation; encounter/trip |
| T2004 |
N-et; commerc carrier pass |
Non-emergency transport; commercial carrier, multi-pass |
| T2005 |
N-et; stretcher van |
Non-emergency transportation; stretcher van |
| T2007 |
Non-emer transport wait time |
Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments |
| T2010 |
Pasrr level i |
Preadmission screening and resident review (pasrr) level i identification screening, per screen |
| T2011 |
Pasrr level ii |
Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation |
| T2012 |
Habil ed waiver, per diem |
Habilitation, educational; waiver, per diem |
| T2013 |
Habil ed waiver per hour |
Habilitation, educational, waiver; per hour |
| T2014 |
Habil prevoc waiver, per d |
Habilitation, prevocational, waiver; per diem |
| T2015 |
Habil prevoc waiver per hr |
Habilitation, prevocational, waiver; per hour |
| T2016 |
Habil res waiver per diem |
Habilitation, residential, waiver; per diem |
| T2017 |
Habil res waiver 15 min |
Habilitation, residential, waiver; 15 minutes |
| T2018 |
Habil sup empl waiver/diem |
Habilitation, supported employment, waiver; per diem |
| T2019 |
Habil sup empl waiver 15min |
Habilitation, supported employment, waiver; per 15 minutes |
| T2020 |
Day habil waiver per diem |
Day habilitation, waiver; per diem |
| T2021 |
Day habil waiver per 15 min |
Day habilitation, waiver; per 15 minutes |
| T2022 |
Case management, per month |
Case management, per month |
| T2023 |
Targeted case mgmt per month |
Targeted case management; per month |
| T2024 |
Serv asmnt/care plan waiver |
Service assessment/plan of care development, waiver |
| T2025 |
Waiver service, nos |
Waiver services; not otherwise specified (nos) |
| T2026 |
Special childcare waiver/d |
Specialized childcare, waiver; per diem |
| T2027 |
Spec childcare waiver 15 min |
Specialized childcare, waiver; per 15 minutes |
| T2028 |
Special supply, nos waiver |
Specialized supply, not otherwise specified, waiver |
| T2029 |
Special med equip, noswaiver |
Specialized medical equipment, not otherwise specified, waiver |
| T2030 |
Assist living waiver/month |
Assisted living, waiver; per month |
| T2031 |
Assist living waiver/diem |
Assisted living; waiver, per diem |
| T2032 |
Res care, nos waiver/month |
Residential care, not otherwise specified (nos), waiver; per month |
| T2033 |
Res, nos waiver per diem |
Residential care, not otherwise specified (nos), waiver; per diem |
| T2034 |
Crisis interven waiver/diem |
Crisis intervention, waiver; per diem |
| T2035 |
Utility services waiver |
Utility services to support medical equipment and assistive technology/devices, waiver |
| T2036 |
Camp overnite waiver/session |
Therapeutic camping, overnight, waiver; each session |
| T2037 |
Camp day waiver/session |
Therapeutic camping, day, waiver; each session |
| T2038 |
Comm trans waiver/service |
Community transition, waiver; per service |
| T2039 |
Vehicle mod waiver/service |
Vehicle modifications, waiver; per service |
| T2040 |
Financial mgt waiver/15min |
Financial management, self-directed, waiver; per 15 minutes |
| T2041 |
Support broker waiver/15 min |
Supports brokerage, self-directed, waiver; per 15 minutes |
| T2042 |
Hospice routine home care |
Hospice routine home care; per diem |
| T2043 |
Hospice continuous home care |
Hospice continuous home care; per hour |
| T2044 |
Hospice respite care |
Hospice inpatient respite care; per diem |
| T2045 |
Hospice general care |
Hospice general inpatient care; per diem |
| T2046 |
Hospice long term care, r&b |
Hospice long term care, room and board only; per diem |
| T2047 |
Hab prevo waiver per 15 |
Habilitation, prevocational, waiver; per 15 minutes |
| T2048 |
Bh ltc res r&b, per diem |
Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem |
| T2049 |
N-et; stretcher van, mileage |
Non-emergency transportation; stretcher van, mileage; per mile |
| T2050 |
Financial mgt waiver/diem |
Financial management, self-directed, waiver; per diem |
| T2051 |
Support broker waiver/diem |
Supports brokerage, self-directed, waiver; per diem |
| T2101 |
Breast milk proc/store/dist |
Human breast milk processing, storage and distribution only |
