G9721 — Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair
G9721 is a HCPCS Level II code for patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair. It belongs to the Procedures and Professional Services (Temporary) section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Physician fee schedule statusM
Measurement code. Used for reporting purposes only; never paid.
Global period: XXX
Want the dollar amount for your locality? The fee calculator applies your GPCI and the current conversion factor.
The CMS record for G9721
- Long descriptor
- Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair
- Short descriptor
- Pt not ambul/immob/wc
- Added
- January 1, 2017
- BETOS
- Z2
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to G9721
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9721 is not quite right, the correct code is very often within a few positions of it.
- G9713Patients who use hospice services any time during the measurement period
- G9714Patient is using hospice services any time during the measurement period
- G9715Patients who use hospice services any time during the measurement periodterminated
- G9716Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
- G9717Documentation stating the patient has had a diagnosis of bipolar disorder
- G9718Hospice services for patient provided any time during the measurement periodterminated
- G9719Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair
- G9720Hospice services for patient occurred any time during the measurement period
- G9722Documented history of renal failure or baseline serum creatinine >= 4.0 mg/dl; renal transplant recipients are not considered to have preoperative renal failure, unless, since transplantation the cr has been or is 4.0 or higher
- G9723Hospice services for patient received any time during the measurement period
- G9724Patients who had documentation of use of anticoagulant medications overlapping the measurement year
- G9725Patients who use hospice services any time during the measurement periodterminated
- G9726Patient refused to participate
- G9727Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available
- G9728Patient refused to participate
- G9729Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available
Questions about G9721
What is HCPCS code G9721?
G9721 is a HCPCS Level II code for patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9721?
The CMS HCPCS file marks G9721 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
How is G9721 paid under the physician fee schedule?
G9721 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.