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G9536

Doc med reas adv brain image

Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e., patient has an abnormal neurological examination; patient has the coexistence of seizures, or both; recent onset of severe headache; change in the type of headache; signs of increased intracranial pressure (e.g., papilledema, absent venous pulsations on funduscopic examination, altered mental status, focal neurologic deficits, signs of meningeal irritation); hiv-positive patients with a new type of headache; immunocompromised patient with unexplained headache symptoms; patient on coagulopathy/anti-coagulation or anti-platelet therapy; very young patients with unexplained headache symptoms)

Code system
HCPCS Level II
Status
Retired 2019-01-01
Billable
No
In effect from
2016-01-01

This code is no longer in use: it was retired on 2019-01-01. No replacement code is listed here.

Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G9536 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G9536",
    "parent": null,
    "status": "retired",
    "system": "hcpcs",
    "display": "Doc med reas adv brain image",
    "billable": false,
    "attributes": {
      "betos": "Z2",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "00",
      "action_effective_date": "2019-01-01"
    },
    "description": "Documentation of medical reason(s) for ordering an advanced brain imaging study (i.e., patient has an abnormal neurological examination; patient has the coexistence of seizures, or both; recent onset of severe headache; change in the type of headache; signs of increased intracranial pressure (e.g., papilledema, absent venous pulsations on funduscopic examination, altered mental status, focal neurologic deficits, signs of meningeal irritation); hiv-positive patients with a new type of headache; immunocompromised patient with unexplained headache symptoms; patient on coagulopathy/anti-coagulation or anti-platelet therapy; very young patients with unexplained headache symptoms)",
    "replaced_by": [],
    "effective_end": "2019-01-01",
    "effective_start": "2016-01-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G9536 in the HCPCS file

betos
Z2
coverage
C
action code
N
type of service
1
pricing indicator
00
action effective date
2019-01-01

Change history

Lifecycle

G9536 has been in effect since 2016-01-01 and was retired on 2019-01-01. 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 G9536 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G9536 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G9536. 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.