Skip to main content
HCPCS G0372 · Level II · G code

G0372: Physician service required to establish and document the need for a power mobility device, HCPCS Level II G code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); PFS relative value file: RVU26D, released August 26, 2026 (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; RVU27A with the CY2027 PFS final rule, effective January 1, 2027 for the PFS relative value file.

Key facts for G0372

Medicare payment
$9.35
PFS non-facility, national; facility $7.68
Coverage code
D
special coverage instructions apply
Practitioner MUE
1
MAI 2
OPPS status
SI M
Service not billable to the FI/MAC
NCCI PTP pairs
9
practitioner file
LCDs and articles
0 / 0

TL;DR

HCPCS Level II G0372 reads "Physician service required to establish and document the need for a power mobility device" in the October 2026 file; it dates from 2005. Medicare's October 2026 physician fee schedule pays G0372 $9.35 non-facility and $7.68 facility nationally, from 0.17 work, 0.10 practice-expense and 0.01 malpractice RVUs at the $33.4009 conversion factor. Qualifying APM participants get $9.40 at $33.5675. MUE limits for G0372: practitioner 1 (MAI 2, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 2, Code Descriptor / CPT Instruction). In the NCCI PTP files v323r0 G0372 appears in 0 practitioner pairs as column 2 and 9 as column 1. G0372 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD. OPPS status indicator M: Service not billable to the FI/MAC. HCPCS record: BETOS M5D (specialist - other); pricing indicator 13; type of service 1 (medical care). Nearby codes: G0378, G0379, G0380, G0381.

G0372 descriptor and code status

The October 2026 HCPCS Level II file describes G0372 as “Physician service required to establish and document the need for a power mobility device”. It sits in the G section (procedures and professional services, temporary), listed with the other G codes. Although searches often call it the "G0372 CPT code", G0372 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of G0372
FieldValue
Short descriptorMd service required for pmd
Added to HCPCS2005-10-25
Last actionN (no maintenance), effective 2005-10-25
Coverage codeD: special coverage instructions apply
Pricing indicator13: physician fee schedule, priced by the contractor
BETOS categoryM5D: specialist - other
Type of service1: medical care

Medicare payment for G0372

Medicare's October 2026 physician fee schedule pays G0372 $9.35 non-facility and $7.68 facility nationally, from 0.17 work, 0.10 practice-expense and 0.01 malpractice RVUs at the $33.4009 conversion factor. Qualifying APM participants get $9.40 at $33.5675. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

Physician fee schedule (RVU26D)

Status A: active: paid separately under the physician fee schedule when covered. Global period XXX (global surgery concept does not apply); PC/TC indicator 0 (physician service; the professional/technical split does not apply).

PFS relative values and national payment for G0372
ComponentNon-facilityFacility
Work RVU0.170.17
Practice expense RVU0.100.05
Malpractice RVU0.010.01
Total RVUs0.280.23
National payment (CF $33.4009)$9.35$7.68
Qualifying APM participant (CF $33.5675)$9.40$7.72
  • Multiple procedures (modifier 51): no multiple-procedure reduction
  • Bilateral (modifier 50): 150% bilateral adjustment does not apply
  • Assistant at surgery: assistant at surgery paid only with documentation; co-surgeons: co-surgeons not permitted; team surgery: team surgeons not permitted
  • Physician supervision of diagnostic procedures: supervision concept does not apply

Hospital outpatient (OPPS Addendum B)

Status indicator M (Service not billable to the FI/MAC), with no separate OPPS payment rate.

Medically Unlikely Edits for G0372

MUE limits for G0372: practitioner 1 (MAI 2, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 2, Code Descriptor / CPT Instruction). The practitioner MUE is a date-of-service policy edit: units above the limit deny even when split across lines, and appeals rarely succeed.

MUE values for G0372 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services12 Date of Service Edit: PolicyCode Descriptor / CPT Instruction
Facility outpatient hospital12 Date of Service Edit: PolicyCode Descriptor / CPT Instruction

The MUE lookup for G0372 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

In the practitioner PTP file v323r0, G0372 is the column-2 (bundled) code in 0 active pairs and the column-1 code in 9 (0% modifier-allowed); 0 earlier pairs have been deleted.

Column-2 codes bundled into G0372 (practitioner)
Column-2 codePairs
36591 (CPT; descriptor licensed by AMA)1
36592 (CPT; descriptor licensed by AMA)1
96523 (CPT; descriptor licensed by AMA)1
99446 (CPT; descriptor licensed by AMA)1
99447 (CPT; descriptor licensed by AMA)1
99448 (CPT; descriptor licensed by AMA)1
99449 (CPT; descriptor licensed by AMA)1
99451 (CPT; descriptor licensed by AMA)1

G0372 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check G0372 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for G0372

No current LCD or billing and coding article lists G0372. The HCPCS coverage code D means special coverage instructions apply, and any National Coverage Determination for the service still applies.

Denials to expect on G0372

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of G0372 exceed the practitioner MUE of 1 per date of service

CARC 4

the modifier reported is inconsistent with the code

CARC 16

the claim lacks the description, invoice or pricing detail a contractor-priced code needs

Where QuickIntell fits for G0372 claims

QuickCode supports qualified coder review of units, modifiers and NCCI pairs for G0372 before the claim leaves, and QuickRCM carries claim readiness and the denial follow-up when an edit or coverage policy is missed.

See QuickCode for coder reviewSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS G0372

What does HCPCS code G0372 describe?

"Physician service required to establish and document the need for a power mobility device" (short descriptor "Md service required for pmd"), in the G section (procedures and professional services, temporary). Added 2005-10-25.

Is G0372 a CPT code?

No: CMS maintains G0372 in HCPCS Level II, while the AMA maintains CPT. People do search "G0372 CPT code", and it goes in the same procedure-code field.

What does Medicare pay for G0372?

Medicare's October 2026 physician fee schedule pays G0372 $9.35 non-facility and $7.68 facility nationally, from 0.17 work, 0.10 practice-expense and 0.01 malpractice RVUs at the $33.4009 conversion factor. Qualifying APM participants get $9.40 at $33.5675.

How many units of G0372 can be billed per day?

MUE limits for G0372: practitioner 1 (MAI 2, Code Descriptor / CPT Instruction); hospital outpatient 1 (MAI 2, Code Descriptor / CPT Instruction). For the practitioner MUE (MAI 2), units above 1 deny for the whole day as a policy limit; denials arrive as CARC 151.

Does Medicare cover G0372?

G0372 appears in no active LCD or billing and coding article, so coverage follows HCPCS coverage code D (special coverage instructions apply) and any NCD.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.