G0372 HCPCS code: Physician service required to establish and document the need for a power mobility device
G0372 is the HCPCS Level II code for physician service required to establish and document the need for a power mobility device. In 2024 Medicare paid an average of $5.96 per service for G0372 across 3,548 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on outpatient hospital claims. Medicare volume fell 39% from 2022 to 2024 (5,823 to 3,548 services). In 2024, about 885 clinicians billed Medicare for G0372 for 3,466 beneficiaries; Nevada, Texas, Florida accounted for 50% of services.
Code details
| Field | Value |
|---|---|
| Section | G codes — Procedures and professional services (temporary) |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 13 |
| BETOS category | M5D |
| Added | 2005-10-25 |
| Last action effective | 2005-10-25 |
Who bills G0372 (2024)
| Measure | Value |
|---|---|
| Clinicians billing (by place of service) | 885 |
| Medicare beneficiaries | 3,466 |
| States with claims | 29 |
| Share of services in top 3 states (Nevada, Texas, Florida) | 50% |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for G0372, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 5,823 | 5,591 | $8.71 | $6.65 |
| 2023 | 6,049 | 5,851 | $8.25 | $6.35 |
| 2024 | 3,548 | 3,466 | $7.84 | $5.96 |
States with the most G0372 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Nevada | 994 | $5.60 |
| Texas | 426 | $6.26 |
| Florida | 308 | $5.91 |
| Ohio | 207 | $6.21 |
| California | 187 | $6.64 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
What changed for G0372
- 2005-10-25: G0372 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code G0372?
G0372 is the HCPCS Level II code for physician service required to establish and document the need for a power mobility device. Short descriptor: "Md service required for pmd".
How much does Medicare pay for G0372?
In 2024, the average Medicare payment was $5.96 per service (average allowed $7.84).
Does Medicare cover G0372?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of G0372 can be billed per day?
1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related G03 codes
- G0300 — Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes
- G0302 — Pre-operative pulmonary surgery services for preparation for lvrs, complete course of services, to include a minimum of 16 days of services
- G0303 — Pre-operative pulmonary surgery services for preparation for lvrs, 10 to 15 days of services
- G0304 — Pre-operative pulmonary surgery services for preparation for lvrs, 1 to 9 days of services
- G0305 — Post-discharge pulmonary surgery services after lvrs, minimum of 6 days of services
- G0306 — Complete cbc, automated (hgb, hct, rbc, wbc, without platelet count) and automated wbc differential count
- G0307 — Complete (cbc), automated (hgb, hct, rbc, wbc; without platelet count)
- G0308 — Creation of subcutaneous pocket with insertion of 180 day implantable interstitial glucose sensor, including system activation and patient training
- G0309 — Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new 180 day implantable sensor, including system activation
- G0310 — Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 5 to 15 mins time (this code is used for medicaid billing purposes)
- G0311 — Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service, 16-30 mins time (this code is used for medicaid billing purposes)
- G0312 — Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21, 5 to 15 mins time (this code is used for medicaid billing purposes)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under G0372
- Watch G0372 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for G0372
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.