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G8969

Doc pt rsn no presc warf/fda

Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2013-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G8969 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G8969",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Doc pt rsn no presc warf/fda",
    "billable": true,
    "attributes": {
      "betos": "M5B",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2022-01-01"
    },
    "description": "Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g., patient preference for not receiving anticoagulation)",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2013-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G8969 in the HCPCS file

betos
M5B
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2022-01-01

Change history

Lifecycle

G8969 has been in effect since 2013-01-01. 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 G8969 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G8969 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G8969. 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.