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A4263

Permanent tear duct plug

Permanent, long term, non-dissolvable lacrimal duct implant, each

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
1994-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/A4263 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "A4263",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Permanent tear duct plug",
    "billable": true,
    "attributes": {
      "betos": "Y1",
      "coverage": "D",
      "action_code": "N",
      "type_of_service": "9",
      "pricing_indicator": "11",
      "action_effective_date": "1998-01-01"
    },
    "description": "Permanent, long term, non-dissolvable lacrimal duct implant, each",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "1994-01-01",
    "care_categories": [
      "birth-control"
    ],
    "care_category_details": [
      {
        "slug": "birth-control",
        "name": "Birth control",
        "confidence": 0.95,
        "derivation": "source_stated",
        "evidence": [
          {
            "url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update",
            "anchor": "HCPCS Level II range A4261-A4269"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

A4263 in the HCPCS file

betos
Y1
coverage
D
action code
N
type of service
9
pricing indicator
11
action effective date
1998-01-01

Change history

Lifecycle

A4263 has been in effect since 1994-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up A4263 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/A4263 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code A4263. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.