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C7903

Hopd mntl hlt, grp

Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2024-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/C7903 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "C7903",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Hopd mntl hlt, grp",
    "billable": true,
    "attributes": {
      "betos": "M2A",
      "coverage": "D",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "53",
      "action_effective_date": "2024-01-01"
    },
    "description": "Group psychotherapy service for diagnosis, evaluation, or treatment of a mental health or substance use disorder provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s), when the patient is in their home, and there is no associated professional service",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2024-01-01",
    "care_categories": [
      "doctor-visits"
    ],
    "care_category_details": [
      {
        "slug": "doctor-visits",
        "name": "Doctor and clinic visits",
        "confidence": 0.9,
        "derivation": "source_stated",
        "evidence": [
          {
            "url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update",
            "anchor": "HCPCS Level II BETOS type of service M2A"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

C7903 in the HCPCS file

betos
M2A
coverage
D
action code
N
type of service
1
pricing indicator
53
action effective date
2024-01-01

Change history

Lifecycle

C7903 has been in effect since 2024-01-01. 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 C7903 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/C7903 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code C7903. 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.