G9726 — Patient refused to participate
G9726 is a HCPCS Level II code for patient refused to participate. 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 G9726
- Long descriptor
- Patient refused to participate
- Short descriptor
- Refused to participate
- 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 G9726
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If G9726 is not quite right, the correct code is very often within a few positions of it.
- 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
- G9721Patient not ambulatory, bed ridden, immobile, confined to chair, wheelchair bound, dependent on helper pushing wheelchair, independent in wheelchair or minimal help in wheelchair
- 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
- 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
- G9730Patient refused to participate
- G9731Patient 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
- G9732Patient refused to participate
- G9733Patient unable to complete the low back fs prom at initial evaluation and/or discharge due to blindness, illiteracy, severe mental incapacity or language incompatibility and an adequate proxy is not available
- G9734Patient refused to participate
Questions about G9726
What is HCPCS code G9726?
G9726 is a HCPCS Level II code for patient refused to participate. It sits in the Procedures and Professional Services (Temporary) section.
Does Medicare cover G9726?
The CMS HCPCS file marks G9726 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 G9726 paid under the physician fee schedule?
G9726 carries PFS status code M. Measurement code. Used for reporting purposes only; never paid.