G9716 – Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)
HCPCS codeG9716
- Long description
- Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
- Short description
- Bmi doc onl fup not cmpltd
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
Z2Undefined codes- Added
- January 1, 2017
- Last change
- January 1, 2022 – No change
Frequently asked questions
What is HCPCS code G9716?
G9716 is a HCPCS Level II code for bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason.
Does Medicare cover G9716?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby G codes
- G9708 – Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy
- G9709 – Hospice services used by patient any time during the measurement period
- G9710 – Patient was provided hospice services any time during the measurement period
- G9711 – Patients with a diagnosis or past history of total colectomy or colorectal cancer
- G9712 – Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute sinusitis, acute pharyngitis, acute tonsillitis, chronic sinusitis, infection of the pharynx/larynx/tonsils/adenoids, prostatitis, cellulitis/ mastoiditis/bone infections, acute lymphadenitis, impetigo, skin staph infections, pneumonia, gonococcal infections/venereal disease (syphilis, chlamydia, inflammatory diseases [female reproductive organs]), infections of the kidney, cystitis/uti, acne, hiv disease/asymptomatic hiv, cystic fibrosis, disorders of the immune system, malignancy neoplasms, chronic bronchitis, emphysema, bronchiectasis, extrinsic allergic alveolitis, chronic airway obstruction, chronic obstructive asthma, pneumoconiosis and other lung disease due to external agents, other diseases of the respiratory system, and tuberculosis
- G9713 – Patients who use hospice services any time during the measurement period
- G9714 – Patient is using hospice services any time during the measurement period
- G9715 – Patients who use hospice services any time during the measurement period
- G9717 – Documentation stating the patient has had a diagnosis of bipolar disorder
- G9718 – Hospice services for patient provided any time during the measurement period
- G9719 – 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
- G9720 – Hospice services for patient occurred any time during the measurement period
- 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
- G9722 – Documented 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
- G9723 – Hospice services for patient received any time during the measurement period
- G9724 – Patients who had documentation of use of anticoagulant medications overlapping the measurement year
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.