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G2065

Clin mang h risk dx 30

Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities

Code system
HCPCS Level II
Status
Retired 2022-01-01
Billable
No
In effect from
2020-01-01

This code is no longer in use: it was retired on 2022-01-01. No replacement code is listed here.

Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G2065 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G2065",
    "parent": null,
    "status": "retired",
    "system": "hcpcs",
    "display": "Clin mang h risk dx 30",
    "billable": false,
    "attributes": {
      "betos": "M5D",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "13",
      "action_effective_date": "2022-01-01"
    },
    "description": "Comprehensive care management for a single high-risk disease services, e.g. principal care management, at least 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month with the following elements: one complex chronic condition lasting at least 3 months, which is the focus of the care plan, the condition is of sufficient severity to place patient at risk of hospitalization or have been cause of a recent hospitalization, the condition requires development or revision of disease-specific care plan, the condition requires frequent adjustments in the medication regimen, and/or the management of the condition is unusually complex due to comorbidities",
    "replaced_by": [],
    "effective_end": "2022-01-01",
    "effective_start": "2020-01-01",
    "care_categories": [
      "care-management"
    ],
    "care_category_details": [
      {
        "slug": "care-management",
        "name": "Care management and coordination",
        "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 range G2064-G2065"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G2065 in the HCPCS file

betos
M5D
coverage
C
action code
N
type of service
1
pricing indicator
13
action effective date
2022-01-01

Change history

Lifecycle

G2065 has been in effect since 2020-01-01 and was retired on 2022-01-01. 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 G2065 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G2065 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G2065. 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.