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See a sample rate comparisonHCPCS T2047 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Habilitation, prevocational, waiver; per 15 minutes
| Key Fact | Detail |
|---|---|
| Service Type | National Codes Established for State Medicaid Agencies Prevocational Habilitation Waiver Services |
| Common Place of Service | 99 - Other POS None |
| Complexity Level | Low |
National average reimbursement for HCPCS T2047 by major payers:
$30.85
$N/A
$6.54
$N/A
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HCPCS T2047
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See a sample payer proposalHCPCS T2047 vs. Other Prevocational Habilitation Waiver Services Codes
The HCPCS T2047 code is part of the National Codes Established for State Medicaid Agencies services used for Prevocational Habilitation Waiver Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS T2047 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| T2046-HCPCS | Low | Hospice long term care, room and board only; per diem |
| T2047-HCPCS | Low | Habilitation, prevocational, waiver; per 15 minutes |
| T2048-HCPCS | Low | Behavioral 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 |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS T2047. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the T2047 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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