T2043 — Hospice continuous home care; per hour
T2043 is a HCPCS Level II code for hospice continuous home care; per hour. 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 T2043
- Long descriptor
- Hospice continuous home care; per hour
- Short descriptor
- Hospice continuous 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 T2043
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If T2043 is not quite right, the correct code is very often within a few positions of it.
- 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
- T2042Hospice routine home care; per diem
- 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
- T2051Supports brokerage, self-directed, waiver; per diem
Questions about T2043
What is HCPCS code T2043?
T2043 is a HCPCS Level II code for hospice continuous home care; per hour. It sits in the National Codes for State Medicaid Agencies section.
Does Medicare cover T2043?
The CMS HCPCS file marks T2043 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 T2043 paid under the physician fee schedule?
T2043 carries PFS status code I. Not valid for Medicare purposes. Medicare uses another code.