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G9987

Bpci advanced in home visit

Bundled payments for care improvement advanced (bpci advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a bpci advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2018-10-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G9987 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G9987",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Bpci advanced in home visit",
    "billable": true,
    "attributes": {
      "betos": "M5D",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "13",
      "action_effective_date": "2018-10-01"
    },
    "description": "Bundled payments for care improvement advanced (bpci advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound, including, but not necessarily limited to patient assessment of clinical status, safety/fall prevention, functional status/ambulation, medication reconciliation/management, compliance with orders/plan of care, performance of activities of daily living, and ensuring beneficiary connections to community and other services; for use only for a bpci advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2018-10-01",
    "care_categories": [],
    "care_category_details": []
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G9987 in the HCPCS file

betos
M5D
coverage
C
action code
N
type of service
1
pricing indicator
13
action effective date
2018-10-01

Change history

Lifecycle

G9987 has been in effect since 2018-10-01. 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 G9987 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G9987 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G9987. 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.