Skip to content
healthcare.dev

G8928

Adj chem not pres rsn spec

Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)

Code system
HCPCS Level II
Status
Retired 2017-01-01
Billable
No
In effect from
2013-01-01

This code is no longer in use: it was retired on 2017-01-01. No replacement code is listed here.

Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G8928 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G8928",
    "parent": null,
    "status": "retired",
    "system": "hcpcs",
    "display": "Adj chem not pres rsn spec",
    "billable": false,
    "attributes": {
      "betos": "M5B",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2017-01-01"
    },
    "description": "Adjuvant chemotherapy not prescribed or previously received, for documented reasons (e.g., medical co-morbidities, diagnosis date more than 5 years prior to the current visit date, patient's diagnosis date is within 120 days of the end of the 12 month reporting period, patient's cancer has metastasized, medical contraindication/allergy, poor performance status, other medical reasons, patient refusal, other patient reasons, patient is currently enrolled in a clinical trial that precludes prescription of chemotherapy, other system reasons)",
    "replaced_by": [],
    "effective_end": "2017-01-01",
    "effective_start": "2013-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G8928 in the HCPCS file

betos
M5B
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2017-01-01

Change history

Lifecycle

G8928 has been in effect since 2013-01-01 and was retired on 2017-01-01. 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 G8928 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G8928 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G8928. 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.