Q5003 HCPCS Level II code: Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)
Q5003 is the HCPCS code for “Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)
Short description: Hospice in lt/non-skilled nf
HCPCS · United States
Notes for Q5003
As CMS prints them, with any note Q5003 takes from the headings above it.
Note
- CMS processing note 0133: SEE ONLINE MANUAL 100-02.9.
Medicare details
The indicators CMS publishes with Q5003 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care; ESRD supplies
- BETOS category
- Other - Non-Medicare fee schedule
- Added
- Jan 1, 2007
Where Q5003 sits
- 1Q codesTemporary codes
- 2Active code Q5003Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code Q5003 mean?
Q5003 is the HCPCS code for “Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover Q5003?
CMS lists Q5003’s Medicare coverage as “Special coverage instructions apply” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside Q5003
All Q codesQ4437Revival ac, per square centimeter (add-on, list separately in addition to primary procedure)Q4438Pretect, per square centimeter (add-on, list separately in addition to primary procedure)Q4439Instagraft, per square centimeter (add-on, list separately in addition to primary procedure)Q4440Curamatrix, per square centimeter (add-on, list separately in addition to primary procedure)Q5001Hospice or home health care provided in patient's home/residenceQ5002Hospice or home health care provided in assisted living facilityQ5004Hospice care provided in skilled nursing facility (snf)Q5005Hospice care provided in inpatient hospitalQ5006Hospice care provided in inpatient hospice facilityQ5007Hospice care provided in long term care facilityQ5008Hospice care provided in inpatient psychiatric facilityQ5009Hospice or home health care provided in place not otherwise specified (nos)