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G8474

Ace/arb not rx'd; doc reas

Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for reasons documented by the clinician (e.g., allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (e.g., patient declined, other patient reasons)

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2008-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G8474 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G8474",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Ace/arb not rx'd; doc reas",
    "billable": true,
    "attributes": {
      "betos": "M5D",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2024-01-01"
    },
    "description": "Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for reasons documented by the clinician (e.g., allergy, intolerance, pregnancy, renal failure due to ace inhibitor, diseases of the aortic or mitral valve, other medical reasons) or (e.g., patient declined, other patient reasons)",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2008-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G8474 in the HCPCS file

betos
M5D
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2024-01-01

Change history

Lifecycle

G8474 has been in effect since 2008-01-01. 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 G8474 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G8474 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G8474. 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.