T2026 Special childcare waiver/d
Also known as: Special childcare, Specialized childcare
Special childcare services under waiver program, billed per diem. Specialized childcare and supervision for children with disabilities or special care needs in community or home settings.
In Plain Language
Specialized care for children with special needs; Supervised childcare services
Clinical Context
Waiver-funded daily childcare services for children with developmental, physical, or medical disabilities providing safe supervision and skill development activities.
RVU Information
CPT T2026 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 T2026?
CPT T2026 (Special childcare waiver/d) is a Other HCPCS code. Special childcare services under waiver program, billed per diem. Specialized childcare and supervision for children with disabilities or special care needs in community or home settings.
Does Medicare cover T2026?
Medicare coverage for T2026 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Waiver-funded daily childcare services for children with developmental, physical, or medical disabilities providing safe supervision and skill development activities. A physician order is typically required.
When is CPT T2026 used?
Waiver-funded daily childcare services for children with developmental, physical, or medical disabilities providing safe supervision and skill development activities.
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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.