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G9246

No enc or enc/vir ld 90days

Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2014-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G9246 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G9246",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "No enc or enc/vir ld 90days",
    "billable": true,
    "attributes": {
      "betos": "M5B",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2025-01-01"
    },
    "description": "Patient did not have two eligible encounters at least 90 days apart or one eligible encounter and one hiv viral load test at least 90 days apart",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2014-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G9246 in the HCPCS file

betos
M5B
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2025-01-01

Change history

Lifecycle

G9246 has been in effect since 2014-01-01. 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 G9246 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G9246 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G9246. 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.