Pts w/ othr rsn vst,+prg tst
Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)
curl https://api.healthcare.dev/v1/codes/hcpcs/M1255 \ -H "Authorization: Bearer $HDEV_API_KEY"
{
"data": {
"code": "M1255",
"parent": null,
"status": "active",
"system": "hcpcs",
"display": "Pts w/ othr rsn vst,+prg tst",
"billable": true,
"attributes": {
"betos": "Z2",
"coverage": "C",
"action_code": "N",
"type_of_service": "1",
"pricing_indicator": "00",
"action_effective_date": "2024-01-01"
},
"description": "Patients who have another reason for visiting the clinic [not prenatal or postpartum care] and have a positive pregnancy test but have not established the clinic as an ob provider (e.g., plan to terminate the pregnancy or seek prenatal services elsewhere)",
"replaced_by": [],
"effective_end": null,
"effective_start": "2024-01-01",
"care_categories": [],
"care_category_details": []
},
"meta": {
"source": "cms-hcpcs",
"data_version": "2026-10"
}
}CMS attributes
Change history
M1255 has been in effect since 2024-01-01. 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
curl https://api.healthcare.dev/v1/codes/hcpcs/M1255 \ -H "Authorization: Bearer $HDEV_API_KEY"
Using the healthcare.dev MCP server, look up HCPCS Level II code M1255. 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.