Reas no adhere therapy
Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)
curl https://api.healthcare.dev/v1/codes/hcpcs/G8854 \ -H "Authorization: Bearer $HDEV_API_KEY"
{
"data": {
"code": "G8854",
"parent": null,
"status": "active",
"system": "hcpcs",
"display": "Reas no adhere therapy",
"billable": true,
"attributes": {
"betos": "M5B",
"coverage": "C",
"action_code": "N",
"type_of_service": "1",
"pricing_indicator": "00",
"action_effective_date": "2024-01-01"
},
"description": "Documentation of reason(s) for not objectively reporting adherence to evidence-based therapy (e.g., patients who have been diagnosed with a terminal or advanced disease with an expected life span of less than 6 months, patients who decline therapy, patients who do not return for follow-up at least annually, patients unable to access/afford therapy, patient's insurance will not cover therapy)",
"replaced_by": [],
"effective_end": null,
"effective_start": "2012-01-01",
"care_categories": [],
"care_category_details": []
},
"meta": {
"source": "cms-hcpcs",
"data_version": "2026-10"
}
}CMS attributes
Change history
G8854 has been in effect since 2012-01-01. 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/G8854 \ -H "Authorization: Bearer $HDEV_API_KEY"
Using the healthcare.dev MCP server, look up HCPCS Level II code G8854. 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.