Question 1

What is HCPCS code T2040?

Accepted Answer

HCPCS code T2040 is "Financial mgt waiver/15min". Financial management, self-directed, waiver; per 15 minutes

Question 2

What category is T2040 in?

Accepted Answer

T2040 belongs to HCPCS Category T (State Medicaid Agency Codes).

Question 3

When should I use HCPCS code T2040?

Accepted Answer

Use T2040 when billing for financial mgt waiver/15min. 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 T2040 covered by Medicare?

Accepted Answer

Coverage for T2040 (Financial mgt waiver/15min) 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 T2040?

Accepted Answer

Documentation for T2040 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).