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G0454

Md document visit by npp

Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2013-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G0454 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G0454",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Md document visit by npp",
    "billable": true,
    "attributes": {
      "betos": "M5D",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "13",
      "action_effective_date": "2013-01-01"
    },
    "description": "Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2013-01-01",
    "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 M5D"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G0454 in the HCPCS file

betos
M5D
coverage
C
action code
N
type of service
1
pricing indicator
13
action effective date
2013-01-01

Change history

Lifecycle

G0454 has been in effect since 2013-01-01. 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 G0454 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G0454 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G0454. 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.