G9716 HCPCS Level II code: Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
G9716 is the HCPCS code for “Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
G9716Bmi 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
HCPCS · United States
Medicare details
The indicators CMS publishes with G9716 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Carrier judgment
- Medicare pricing
- Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)
- Type of service
- Medical care
- BETOS category
- Undefined codes
- Added
- Jan 1, 2017
Where G9716 sits
- 1G codesProcedures and professional services
- 2Active code G9716Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code G9716 mean?
G9716 is the HCPCS code for “Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover G9716?
CMS lists G9716’s Medicare coverage as “Carrier judgment” and its pricing as “Service not separately priced by Part B (e.g., services not covered, bundled, used by Part A only, etc.)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside G9716
All G codesG9710Patient was provided hospice services any time during the measurement periodG9711Patients with a diagnosis or past history of total colectomy or colorectal cancerG9712Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g., intestinal infection, pertussis, bacterial infection, lyme disease, otitis media, acute…G9713Patients who use hospice services any time during the measurement periodG9714Patient is using hospice services any time during the measurement periodG9715Patients who use hospice services any time during the measurement periodG9717Documentation stating the patient has had a diagnosis of bipolar disorderG9718Hospice services for patient provided any time during the measurement periodG9719Patient is not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in…G9720Hospice services for patient occurred any time during the measurement periodG9721Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchairG9722Documented 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…