Billing codes
HCPCS codes and modifiers used to bill Medicaid and other payers for non-medical home care.
- S5125 What is HCPCS code S5125? S5125 is the HCPCS code for attendant care services per 15 minutes. The CMS descriptor, how states use it for self-directed care, and 2026 sample rates.
- S5130 What is HCPCS code S5130? S5130 is the HCPCS code for homemaker services billed per 15 minutes. The CMS descriptor, who pays for it, 2026 state rates and how to bill it right.
- S5135 What is HCPCS code S5135? S5135 is the HCPCS code for adult companion care billed per 15 minutes. The CMS descriptor, which Medicaid programs pay it, 2026 rates and billing tips.
- S5150 What is HCPCS code S5150? S5150 is the HCPCS code for unskilled respite care billed per 15 minutes. The CMS descriptor, who pays, real 2026 state rates and billing tips for agencies.
- T1019 What is HCPCS code T1019? T1019 is the Medicaid code for personal care services billed per 15 minutes. The CMS descriptor, who pays, sample 2026 state rates and billing tips.
- S5126 What is HCPCS code S5126? S5126 is the HCPCS code for attendant care services billed per diem. The CMS descriptor, how it differs from S5125, and what to check before you bill.
- S5131 What is HCPCS code S5131? S5131 is the HCPCS code for homemaker services billed per diem. The CMS descriptor, how it differs from S5130, and what to confirm before billing a day.
- S5151 What is HCPCS code S5151? S5151 is the HCPCS code for unskilled respite care billed per diem. The CMS descriptor, who pays, a real 2026 state daily rate and tips for billing it.
- T1005 What is HCPCS code T1005? T1005 is the HCPCS code for respite care services billed in units of up to 15 minutes. The CMS descriptor, who pays, real state rates and billing tips.
- T1020 What is HCPCS code T1020? T1020 is the per diem version of T1019, the Medicaid personal care code. The CMS descriptor, when a daily code applies, and how to bill it correctly.
- H2014 H2014 HCPCS Code: Skills training and development (Units, EVV, Rates, Denials) H2014: Skills training and development, per 15 minutes. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- S5100 S5100 HCPCS Code: Day care services (Units, EVV, Rates, Denials) S5100: Day care services, adult, per 15 minutes. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- S5101 S5101 HCPCS Code: Day care services (Units, EVV, Rates, Denials) S5101: Day care services, adult, per half day. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- S5102 S5102 HCPCS Code: Day care services (Units, EVV, Rates, Denials) S5102: Day care services, adult, per diem. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- S9122 S9122 HCPCS Code: Home health aide or certified nurse assistant (Units, EVV, Rates, Denials) S9122: Home health aide or certified nurse assistant, providing care in the home; per hour. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- S9123 S9123 HCPCS Code: Nursing care (Units, EVV, Rates, Denials) S9123: Nursing care, in the home; by registered nurse, per hour. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- S9124 S9124 HCPCS Code: Nursing care (Units, EVV, Rates, Denials) S9124: Nursing care, in the home; by licensed practical nurse, per hour. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- S9125 S9125 HCPCS Code: Respite care (Units, EVV, Rates, Denials) S9125: Respite care, in the home, per diem. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- T1021 T1021 HCPCS Code: Home health aide or certified nurse assistant (Units, EVV, Rates, Denials) T1021: Home health aide or certified nurse assistant, per visit. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- T1030 T1030 HCPCS Code: Nursing care (Units, EVV, Rates, Denials) T1030: Nursing care, in the home, by registered nurse, per diem. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- T1031 T1031 HCPCS Code: Nursing care (Units, EVV, Rates, Denials) T1031: Nursing care, in the home, by licensed practical nurse, per diem. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- T2022 T2022 HCPCS Code: Case management (Units, EVV, Rates, Denials) T2022: Case management, per month. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- T2027 T2027 HCPCS Code: Specialized childcare (Units, EVV, Rates, Denials) T2027: Specialized childcare, waiver, per 15 minutes. Billing unit, which services it covers, modifiers, whether EVV applies, typical rate notes by state and the common denial reasons.
- G0156 What is HCPCS code G0156? G0156 is the Medicare code for home health or hospice aide services, each 15 minutes. How it's used on home health claims and why non-medical agencies don't bill it.
- T2025 What is HCPCS code T2025? T2025 is the HCPCS code for waiver services not otherwise specified. What the CMS descriptor says, how states define it, real 2026 rates and billing tips.