Q5002 — Hospice or home health care provided in assisted living facility
Q5002 is a HCPCS Level II code for hospice or home health care provided in assisted living facility. It belongs to the Temporary Codes section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
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 statusE
Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).
Global period: XXX
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The CMS record for Q5002
- Long descriptor
- Hospice or home health care provided in assisted living facility
- Short descriptor
- Hospice/home hlth in asst lv
- Added
- January 1, 2007
- BETOS
- Y2
- 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 Q5002
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If Q5002 is not quite right, the correct code is very often within a few positions of it.
- Q4433361 hct/p skin substitute product, not otherwise specified (list in addition to primary procedure)
- Q4435Renati membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4436Renati ac membrane, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4437Revival ac, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4438Pretect, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4439Instagraft, per square centimeter (add-on, list separately in addition to primary procedure)
- Q4440Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure)
- Q5001Hospice or home health care provided in patient's home/residence
- Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)
- Q5004Hospice care provided in skilled nursing facility (snf)
- Q5005Hospice care provided in inpatient hospital
- Q5006Hospice care provided in inpatient hospice facility
- Q5007Hospice care provided in long term care facility
- Q5008Hospice care provided in inpatient psychiatric facility
- Q5009Hospice or home health care provided in place not otherwise specified (nos)
- Q5010Hospice home care provided in a hospice facility
Questions about Q5002
What is HCPCS code Q5002?
Q5002 is a HCPCS Level II code for hospice or home health care provided in assisted living facility. It sits in the Temporary Codes section.
Does Medicare cover Q5002?
The CMS HCPCS file marks Q5002 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
How is Q5002 paid under the physician fee schedule?
Q5002 carries PFS status code E. Excluded from the physician fee schedule by regulation. Payment, where it exists, comes from another fee schedule (drugs via ASP, supplies via DMEPOS, and so on).