Q5003 HCPCS code: Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)
Q5003 is the HCPCS Level II code for hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf). Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met.
Code details
| Field | Value |
|---|---|
| Section | Q codes — Temporary codes |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | Y2 |
| Added | 2007-01-01 |
| Last action effective | 2007-01-01 |
What changed for Q5003
- 2007-01-01: Q5003 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code Q5003?
Q5003 is the HCPCS Level II code for hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf). Short descriptor: "Hospice in lt/non-skilled nf".
Does Medicare cover Q5003?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Related Q50 codes
- Q5001 — Hospice or home health care provided in patient's home/residence
- Q5002 — Hospice or home health care provided in assisted living facility
- Q5004 — Hospice care provided in skilled nursing facility (snf)
- Q5005 — Hospice care provided in inpatient hospital
- Q5006 — Hospice care provided in inpatient hospice facility
- Q5007 — Hospice care provided in long term care facility
- Q5008 — Hospice care provided in inpatient psychiatric facility
- Q5009 — Hospice or home health care provided in place not otherwise specified (nos)
- Q5010 — Hospice home care provided in a hospice facility
- Q5098 — Injection, ustekinumab-srlf (imuldosa), biosimilar, 1 mg
- Q5099 — Injection, ustekinumab-stba (steqeyma), biosimilar, 1 mg
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Next steps
- Run a reimbursement report for a device billed under Q5003
- Watch Q5003 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for Q5003
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.