Pt navigat svs direct/ref
Patient navigational services, provided directly or by referral; including helping the patient to navigate health systems and identify care providers and supportive services, to build patient self-advocacy and communication skills with care providers, and to promote patient-driven action plans and goals; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)
curl https://api.healthcare.dev/v1/codes/hcpcs/G0535 \ -H "Authorization: Bearer $HDEV_API_KEY"
{
"data": {
"code": "G0535",
"parent": null,
"status": "active",
"system": "hcpcs",
"display": "Pt navigat svs direct/ref",
"billable": true,
"attributes": {
"betos": "M5D",
"coverage": "C",
"action_code": "N",
"type_of_service": "1",
"pricing_indicator": "13",
"action_effective_date": "2025-01-01"
},
"description": "Patient navigational services, provided directly or by referral; including helping the patient to navigate health systems and identify care providers and supportive services, to build patient self-advocacy and communication skills with care providers, and to promote patient-driven action plans and goals; each additional 30 minutes of services (provision of the services by a medicare-enrolled opioid treatment program); (list separately in addition to each primary code)",
"replaced_by": [],
"effective_end": null,
"effective_start": "2025-01-01",
"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
Change history
G0535 has been in effect since 2025-01-01. 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
curl https://api.healthcare.dev/v1/codes/hcpcs/G0535 \ -H "Authorization: Bearer $HDEV_API_KEY"
Using the healthcare.dev MCP server, look up HCPCS Level II code G0535. 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.