Provided are a method for a terminal transmitting an uplink on the basis of an uplink feedback indicator in a wireless communication system, and a device supporting same. The method may comprise the steps of: receiving, from a base station, an uplink feedback indicator indicating whether uplink feedback for a paging indicator is enabled; receiving, from the base station, a paging indicator corresponding to the ID of the terminal; and transmitting an uplink as a response to the paging indicator if the uplink feedback indicator indicates that uplink feedback for the paging indicator is enabled.