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G0472

Hep c screen high risk/other

Hepatitis c antibody screening, for individual at high risk and other covered indication(s)

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2014-06-02
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G0472 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G0472",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Hep c screen high risk/other",
    "billable": true,
    "attributes": {
      "betos": "P5E",
      "coverage": "D",
      "action_code": "N",
      "type_of_service": "5",
      "pricing_indicator": "13",
      "action_effective_date": "2016-01-01"
    },
    "description": "Hepatitis c antibody screening, for individual at high risk and other covered indication(s)",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2014-06-02",
    "care_categories": [
      "screening-tests"
    ],
    "care_category_details": [
      {
        "slug": "screening-tests",
        "name": "Screening tests",
        "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 G0472"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G0472 in the HCPCS file

betos
P5E
coverage
D
action code
N
type of service
5
pricing indicator
13
action effective date
2016-01-01

Change history

Lifecycle

G0472 has been in effect since 2014-06-02. 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 G0472 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G0472 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G0472. 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.