T2021 Day habil waiver per 15 minutes
Also known as: Day habilitation, Day hab services
Day habilitation services under waiver, billed per 15-minute interval. Time-based structured daytime activities for skill development and community integration.
In Plain Language
Timed daytime program services; Hourly community activities
Clinical Context
Intensive 15-minute interval day habilitation services ensuring accurate billing for variable-duration structured daytime programs supporting individuals with developmental disabilities.
RVU Information
CPT T2021 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
Frequently Asked Questions
What is CPT code T2021?
CPT T2021 (Day habil waiver per 15 minutes) is a Other HCPCS code. Day habilitation services under waiver, billed per 15-minute interval. Time-based structured daytime activities for skill development and community integration.
Does Medicare cover T2021?
Medicare coverage for T2021 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Intensive 15-minute interval day habilitation services ensuring accurate billing for variable-duration structured daytime programs supporting individuals with developmental disabilities. A physician order is typically required.
When is CPT T2021 used?
Intensive 15-minute interval day habilitation services ensuring accurate billing for variable-duration structured daytime programs supporting individuals with developmental disabilities.
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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.