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UT · guidance

Utah Medicaid Provider Manual, Hospice Care Services § 12

Coding

activein force · 2026-01-01 – presentcompiled-edition

Hospice providers should use the following codes when reporting hospice care

services:

• T2042 Routine home care - daily (the same code applies to the higher base

rate and the lower base rate)

• T2043 Continuous home care – hourly (minimum of 8 hours)

• T2044 Inpatient respite care - daily

• T2045 General inpatient care - daily

• T2046 Long-term care facility room and board - daily

• G0155 Service Intensity Add-on – per quarter hour (maximum of 4 hours

per day)

Provenance

Source
medicaid-documents.dhhs.utah.gov
Retrieved
2026-10-02
Edition
mpm-hospice-2026-01-01
Content hash
3d20856b0940a8f70e933ca11e0a7df4f31537db0779f0cd9c2ecbb9e771be33
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