Question 1

What is HCPCS code G9721?

Accepted Answer

HCPCS code G9721 is "Pt not ambul/immob/wc". Patient 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 G9721 in?

Accepted Answer

G9721 belongs to HCPCS Category G (Procedures/Professional Services).

Question 3

When should I use HCPCS code G9721?

Accepted Answer

Use G9721 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 G9721 covered by Medicare?

Accepted Answer

Coverage for G9721 (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 G9721?

Accepted Answer

Documentation for G9721 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).