Unrelat prac follow up visit
Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable: reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation. research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty). evaluate and physically examine the patient to determine whether the post-operative course is progressing appropriately. communicate with the practitioner who performed the procedure if any questions or concerns arise. (list separately in addition to office/outpatient evaluation and management visit, new or established)
curl https://api.healthcare.dev/v1/codes/hcpcs/G0559 \ -H "Authorization: Bearer $HDEV_API_KEY"
{
"data": {
"code": "G0559",
"parent": null,
"status": "active",
"system": "hcpcs",
"display": "Unrelat prac follow up visit",
"billable": true,
"attributes": {
"betos": "M5D",
"coverage": "C",
"action_code": "N",
"type_of_service": "1",
"pricing_indicator": "13",
"action_effective_date": "2025-01-01"
},
"description": "Post-operative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable: reading available surgical note to understand the relative success of the procedure, the anatomy that was affected, and potential complications that could have arisen due to the unique circumstances of the patient's operation. research the procedure to determine expected post-operative course and potential complications (in the case of doing a post-op for a procedure outside the specialty). evaluate and physically examine the patient to determine whether the post-operative course is progressing appropriately. communicate with the practitioner who performed the procedure if any questions or concerns arise. (list separately in addition to office/outpatient evaluation and management visit, new or established)",
"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
G0559 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/G0559 \ -H "Authorization: Bearer $HDEV_API_KEY"
Using the healthcare.dev MCP server, look up HCPCS Level II code G0559. 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.