T2012 — Habilitation, educational; waiver, per diem
T2012 is a HCPCS Level II code for habilitation, educational; waiver, per diem. It belongs to the National Codes for State Medicaid Agencies section. Medicare does not pay it — see the coverage note below before you bill it.
Medicare coverage: Not payable by Medicare
Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusI
Not valid for Medicare purposes. Medicare uses another code.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for T2012
- Long descriptor
- Habilitation, educational; waiver, per diem
- Short descriptor
- Habil ed waiver, per diem
- Added
- October 1, 2003
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to T2012
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If T2012 is not quite right, the correct code is very often within a few positions of it.
- T2001Non-emergency transportation; patient attendant/escort
- T2002Non-emergency transportation; per diem
- T2003Non-emergency transportation; encounter/trip
- T2004Non-emergency transport; commercial carrier, multi-pass
- T2005Non-emergency transportation; stretcher van
- T2007Transportation waiting time, air ambulance and non-emergency vehicle, one-half (1/2) hour increments
- T2010Preadmission screening and resident review (pasrr) level i identification screening, per screen
- T2011Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation
- T2013Habilitation, educational, waiver; per hour
- T2014Habilitation, prevocational, waiver; per diem
- T2015Habilitation, prevocational, waiver; per hour
- T2016Habilitation, residential, waiver; per diem
- T2017Habilitation, residential, waiver; 15 minutes
- T2018Habilitation, supported employment, waiver; per diem
- T2019Habilitation, supported employment, waiver; per 15 minutes
- T2020Day habilitation, waiver; per diem
Questions about T2012
What is HCPCS code T2012?
T2012 is a HCPCS Level II code for habilitation, educational; waiver, per diem. It sits in the National Codes for State Medicaid Agencies section.
Does Medicare cover T2012?
The CMS HCPCS file marks T2012 as "Not payable by Medicare". Medicare does not pay this code. It may still be valid for another payer, but a Medicare claim carrying it will not be reimbursed.
How is T2012 paid under the physician fee schedule?
T2012 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.