T2025 — Waiver services; not otherwise specified (nos)
T2025 is a HCPCS Level II code for waiver services; not otherwise specified (nos). 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
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The CMS record for T2025
- Long descriptor
- Waiver services; not otherwise specified (nos)
- Short descriptor
- Waiver service, nos
- 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 T2025
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If T2025 is not quite right, the correct code is very often within a few positions of it.
- T2017Habilitation, residential, waiver; 15 minutes
- T2018Habilitation, supported employment, waiver; per diem
- T2019Habilitation, supported employment, waiver; per 15 minutes
- T2020Day habilitation, waiver; per diem
- T2021Day habilitation, waiver; per 15 minutes
- T2022Case management, per month
- T2023Targeted case management; per month
- T2024Service assessment/plan of care development, waiver
- T2026Specialized childcare, waiver; per diem
- T2027Specialized childcare, waiver; per 15 minutes
- T2028Specialized supply, not otherwise specified, waiver
- T2029Specialized medical equipment, not otherwise specified, waiver
- T2030Assisted living, waiver; per month
- T2031Assisted living; waiver, per diem
- T2032Residential care, not otherwise specified (nos), waiver; per month
- T2033Residential care, not otherwise specified (nos), waiver; per diem
Questions about T2025
What is HCPCS code T2025?
T2025 is a HCPCS Level II code for waiver services; not otherwise specified (nos). It sits in the National Codes for State Medicaid Agencies section.
Does Medicare cover T2025?
The CMS HCPCS file marks T2025 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 T2025 paid under the physician fee schedule?
T2025 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.