HCPCS Level II code Q5002 designates hospice or home health care delivered in an assisted living facility. This code is used to identify and bill for clinical services and supportive care provided to residents of assisted living settings who require home health or hospice-level services. Nationally, accurate use of Q5002 matters for appropriate site-of-service classification, care coordination for older adults and individuals with chronic or terminal conditions, and clear claims processing across payers and Medicare.

Key payers covered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of how Q5002 is defined, typical clinical contexts for its use, and the national implications for billing and coding practice. The publication summarizes payer coverage patterns and benchmarking where available, highlights policy considerations affecting assisted living as a site of service, and provides clinical context relevant to hospice and home health teams operating in assisted living facilities. It also identifies areas where data was not available in the input and where organizations commonly seek further guidance, such as payer-specific documentation requirements and claims submission nuances.