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T2013 Habil ed waiver per hour

Other HCPCS

Also known as: Habilitation education, Hab ed services

Habilitation education services under waiver program, billed hourly. Interventions to develop or maintain functional living, social, and cognitive skills for individuals with disabilities.

In Plain Language

Hourly skills training program; Time-based educational support services

Clinical Context

Waiver-funded educational interventions for persons with developmental disabilities billed by the hour, providing intensive skill development in daily living and community integration.

RVU Information

CPT T2013 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.

Billing & Documentation

This HCPCS code requires documentation of medical necessity and a valid physician order. Coverage and reimbursement policies vary by payer. Check with the specific insurer for prior authorization requirements.

Specialties

Developmental disabilitiesEducationRehabilitation

Frequently Asked Questions

What is CPT code T2013?

CPT T2013 (Habil ed waiver per hour) is a Other HCPCS code. Habilitation education services under waiver program, billed hourly. Interventions to develop or maintain functional living, social, and cognitive skills for individuals with disabilities.

Does Medicare cover T2013?

Medicare coverage for T2013 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Waiver-funded educational interventions for persons with developmental disabilities billed by the hour, providing intensive skill development in daily living and community integration. A physician order is typically required.

When is CPT T2013 used?

Waiver-funded educational interventions for persons with developmental disabilities billed by the hour, providing intensive skill development in daily living and community integration.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.