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G0402

Initial preventive exam

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2009-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G0402 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G0402",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Initial preventive exam",
    "billable": true,
    "attributes": {
      "betos": "M1A",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "11",
      "action_effective_date": "2009-01-01"
    },
    "description": "Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2009-01-01",
    "care_categories": [
      "wellness-visits"
    ],
    "care_category_details": [
      {
        "slug": "wellness-visits",
        "name": "Checkups and wellness visits",
        "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 code G0402"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G0402 in the HCPCS file

betos
M1A
coverage
C
action code
N
type of service
1
pricing indicator
11
action effective date
2009-01-01

Change history

Lifecycle

G0402 has been in effect since 2009-01-01. 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 G0402 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G0402 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G0402. 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.