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A4590

Special casting material

Special casting material (e.g., fiberglass)

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
1984-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/A4590 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "A4590",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Special casting material",
    "billable": true,
    "attributes": {
      "betos": "D1A",
      "coverage": "I",
      "action_code": "N",
      "type_of_service": "9",
      "pricing_indicator": "00",
      "action_effective_date": "1984-01-01"
    },
    "description": "Special casting material (e.g., fiberglass)",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "1984-01-01",
    "care_categories": [
      "casts-and-splints"
    ],
    "care_category_details": [
      {
        "slug": "casts-and-splints",
        "name": "Casts and splints",
        "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 A4580-A4590"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

A4590 in the HCPCS file

betos
D1A
coverage
I
action code
N
type of service
9
pricing indicator
00
action effective date
1984-01-01

Change history

Lifecycle

A4590 has been in effect since 1984-01-01. 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 A4590 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/A4590 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code A4590. 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.