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M0234

Intra inf, toci, second dos

Intravenous infusion, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2026-04-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/M0234 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "M0234",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Intra inf, toci, second dos",
    "billable": true,
    "attributes": {
      "betos": "O1G",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "V",
      "pricing_indicator": "54",
      "action_effective_date": "2026-04-01"
    },
    "description": "Intravenous infusion, tocilizumab-aazg, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2026-04-01",
    "care_categories": [
      "covid-19"
    ],
    "care_category_details": [
      {
        "slug": "covid-19",
        "name": "COVID-19",
        "confidence": 0.95,
        "derivation": "source_stated",
        "evidence": [
          {
            "url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update",
            "anchor": "HCPCS Level II range M0220-M0250"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

M0234 in the HCPCS file

betos
O1G
coverage
C
action code
N
type of service
V
pricing indicator
54
action effective date
2026-04-01

Change history

Lifecycle

M0234 has been in effect since 2026-04-01. 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 M0234 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/M0234 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code M0234. 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.