T2042: Hospice routine home care; per diem
T2042 is a HCPCS Level II code for hospice routine home care; 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 2026Q4-Oct. 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 T2042
- Long descriptor
- Hospice routine home care; per diem
- Short descriptor
- Hospice routine home care
- 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 T2042
HCPCS has no hierarchy: related items simply sit next to each other in the numbering. If T2042 is not quite right, the correct code is very often within a few positions of it.
- T2034Crisis intervention, waiver; per diem
- T2035Utility services to support medical equipment and assistive technology/devices, waiver
- T2036Therapeutic camping, overnight, waiver; each session
- T2037Therapeutic camping, day, waiver; each session
- T2038Community transition, waiver; per service
- T2039Vehicle modifications, waiver; per service
- T2040Financial management, self-directed, waiver; per 15 minutes
- T2041Supports brokerage, self-directed, waiver; per 15 minutes
- T2043Hospice continuous home care; per hour
- T2044Hospice inpatient respite care; per diem
- T2045Hospice general inpatient care; per diem
- T2046Hospice long term care, room and board only; per diem
- T2047Habilitation, prevocational, waiver; per 15 minutes
- T2048Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days), with room and board, per diem
- T2049Non-emergency transportation; stretcher van, mileage; per mile
- T2050Financial management, self-directed, waiver; per diem