Question 1

What is HCPCS code G9719?

Accepted Answer

HCPCS code G9719 is "Pt not ambul/immob/wc". Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair

Question 2

What category is G9719 in?

Accepted Answer

G9719 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9719?

Accepted Answer

Use G9719 when billing for pt not ambul/immob/wc. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is G9719 covered by Medicare?

Accepted Answer

Coverage for G9719 (Pt not ambul/immob/wc) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for G9719?

Accepted Answer

Documentation for G9719 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).