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P9603

One-way allow prorated miles

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
1987-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/P9603 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "P9603",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "One-way allow prorated miles",
    "billable": true,
    "attributes": {
      "betos": "Y2",
      "coverage": "D",
      "action_code": "N",
      "type_of_service": "5",
      "pricing_indicator": "22",
      "action_effective_date": "1992-01-01"
    },
    "description": "Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "1987-01-01",
    "care_categories": [
      "lab-tests"
    ],
    "care_category_details": [
      {
        "slug": "lab-tests",
        "name": "Lab tests",
        "confidence": 0.9,
        "derivation": "source_stated",
        "evidence": [
          {
            "url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update",
            "anchor": "HCPCS Level II range P0000-P9999"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

P9603 in the HCPCS file

betos
Y2
coverage
D
action code
N
type of service
5
pricing indicator
22
action effective date
1992-01-01

Change history

Lifecycle

P9603 has been in effect since 1987-01-01. 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 P9603 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/P9603 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code P9603. 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.