HCPCS code G0403: Preventive ECG, initial preventive examination2026 Medicare rate & RVUs in Sacramento, CA
Reports a 12-lead screening ECG performed as part of the initial preventive physical examination when the complete test service is furnished.
In Sacramento, CA, Medicare pays $16.73 for G0403 in the office.
Check a contract rate as a % of Medicare · G0403 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What G0403 covers
G0403 represents a screening 12-lead ECG connected to the initial preventive physical examination, often called the Welcome to Medicare visit. The service includes the ECG tracing and its interpretation and report when furnished as a complete test. In an office or outpatient setting, clinical staff commonly obtain the tracing, while a physician or other qualified practitioner interprets it and documents the findings. The ECG is distinct from the preventive examination itself.
Report G0403 when the practice furnishes and bills the complete ECG service as part of the initial preventive examination. Documentation should identify the preventive visit, the ECG performed, and the interpretation and report. CMS identifies G0403 as a global-test-only code: use the separate component codes when billing only the tracing or only the interpretation and report. G0404 describes the tracing portion, and G0405 describes the interpretation and report portion.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Sacramento, CA compares for G0403
Across 109 of 109 payment localities, the office rate for G0403 runs from $13.77 in Arkansas to $19.67 in San Benito County, CA. Sacramento, CA pays $16.73. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Sacramento, CA · this page$16.73
- Bakersfield, CA · California$16.08−$0.65
- Chico, CA · California$16.02−$0.71
- El Centro, CA · California$16.02−$0.71
- Fresno, CA · California$16.02−$0.71
- Hanford, CA · California$16.02−$0.71
- Los Angeles, CA · California$17.02+$0.29
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $16.02 | — |
| Merced, CACalifornia | $16.02 | — |
| Modesto, CACalifornia | $16.02 | — |
| Napa, CACalifornia | $18.26 | — |
| Oxnard, CACalifornia | $16.91 | — |
| Redding, CACalifornia | $16.02 | — |
| Rest of CaliforniaCalifornia | $16.02 | — |
| Riverside, CACalifornia | $16.23 | — |
| Salinas, CACalifornia | $16.66 | — |
| San Diego, CACalifornia | $17.00 | — |
| Marin County, CACalifornia | $19.24 | — |
| San Francisco, CACalifornia | $19.22 | — |
| San Benito County, CACalifornia | $19.67 | — |
| Santa Clara County, CACalifornia | $19.57 | — |
| San Luis Obispo, CACalifornia | $16.40 | — |
| Santa Cruz, CACalifornia | $17.11 | — |
| Santa Maria, CACalifornia | $16.71 | — |
| Santa Rosa, CACalifornia | $17.28 | — |
| Stockton, CACalifornia | $16.02 | — |
| Vallejo, CACalifornia | $18.23 | — |
| Visalia, CACalifornia | $16.02 | — |
| Yuba City, CACalifornia | $16.02 | — |
| Washington, DC areaDistrict of Columbia | $17.35 | — |
| Miami, FLFlorida | $16.76 | — |
| Chicago, ILIllinois | $16.31 | — |
| Manhattan, NYNew York | $17.58 | — |
| AlaskaAlaska | $18.49 | — |
| AlabamaAlabama | $13.95 | — |
| ArkansasArkansas | $13.77 | — |
| ArizonaArizona | $14.99 | — |
| ColoradoColorado | $15.86 | — |
| ConnecticutConnecticut | $16.31 | — |
| DelawareDelaware | $15.22 | — |
| Fort Lauderdale, FLFlorida | $16.02 | — |
| Rest of FloridaFlorida | $15.30 | — |
| Atlanta, GAGeorgia | $15.66 | — |
| Rest of GeorgiaGeorgia | $14.52 | — |
| Hawaii, Guam, HIHawaii | $16.32 | — |
| IowaIowa | $14.20 | — |
| IdahoIdaho | $14.29 | — |
| East St. Louis, ILIllinois | $15.32 | — |
| Rest of IllinoisIllinois | $14.96 | — |
| Suburban Chicago, ILIllinois | $16.16 | — |
| IndianaIndiana | $14.36 | — |
| KansasKansas | $14.17 | — |
| KentuckyKentucky | $14.31 | — |
| New Orleans, LALouisiana | $14.92 | — |
| Rest of LouisianaLouisiana | $14.30 | — |
| Metropolitan Boston, MAMassachusetts | $17.27 | — |
| Rest of MassachusettsMassachusetts | $15.80 | — |
| Baltimore area, MDMaryland | $16.27 | — |
| Rest of MarylandMaryland | $15.47 | — |
| Rest of MaineMaine | $14.39 | — |
| Southern Maine, MEMaine | $15.04 | — |
| Detroit, MIMichigan | $15.51 | — |
| Rest of MichiganMichigan | $14.67 | — |
| MinnesotaMinnesota | $15.16 | — |
| Metropolitan Kansas City, MOMissouri | $14.80 | — |
| Metropolitan St. Louis, MOMissouri | $14.93 | — |
| Rest of MissouriMissouri | $14.10 | — |
| MississippiMississippi | $13.94 | — |
| MontanaMontana | $15.36 | — |
| North CarolinaNorth Carolina | $14.52 | — |
| North DakotaNorth Dakota | $14.97 | — |
| NebraskaNebraska | $14.25 | — |
| New HampshireNew Hampshire | $15.65 | — |
| Northern New JerseyNew Jersey | $17.21 | — |
| Rest of New JerseyNew Jersey | $16.49 | — |
| New MexicoNew Mexico | $14.75 | — |
| NevadaNevada | $15.26 | — |
| NYC suburbs and Long Island, NYNew York | $18.00 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $16.62 | — |
| Queens, NYNew York | $17.66 | — |
| Rest of New YorkNew York | $14.72 | — |
| OhioOhio | $14.59 | — |
| OklahomaOklahoma | $14.25 | — |
| Portland, OROregon | $16.29 | — |
| Rest of OregonOregon | $15.13 | — |
| Metropolitan Philadelphia, PAPennsylvania | $15.97 | — |
| Rest of PennsylvaniaPennsylvania | $14.59 | — |
| Puerto RicoPuerto Rico | $15.45 | — |
| Rhode IslandRhode Island | $15.70 | — |
| South CarolinaSouth Carolina | $14.58 | — |
| South DakotaSouth Dakota | $14.92 | — |
| TennesseeTennessee | $14.23 | — |
| Austin, TXTexas | $15.82 | — |
| Beaumont, TXTexas | $14.51 | — |
| Brazoria, TXTexas | $15.18 | — |
| Dallas, TXTexas | $15.28 | — |
| Fort Worth, TXTexas | $15.20 | — |
| Galveston, TXTexas | $15.23 | — |
| Houston, TXTexas | $15.60 | — |
| Rest of TexasTexas | $14.84 | — |
| UtahUtah | $14.76 | — |
| VirginiaVirginia | $15.01 | — |
| Virgin Islands, VIUnited States Virgin Islands | $15.45 | — |
| VermontVermont | $14.94 | — |
| Rest of WashingtonWashington | $15.76 | — |
| King County, WAWashington | $17.57 | — |
| WisconsinWisconsin | $14.52 | — |
| West VirginiaWest Virginia | $14.47 | — |
| WyomingWyoming | $15.19 | — |
G0403 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$13.77
$18.49
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $18.49 | 1 |
| AL | $13.95 | 1 |
| AR | $13.77 | 1 |
| AZ | $14.99 | 1 |
| CA | $16.02–$19.67 | 29 |
| CO | $15.86 | 1 |
| CT | $16.31 | 1 |
| DC | $17.35 | 1 |
| DE | $15.22 | 1 |
| FL | $15.30–$16.76 | 3 |
| GA | $14.52–$15.66 | 2 |
| GU | $16.32 | 1 |
| HI | $16.32 | 1 |
| IA | $14.20 | 1 |
| ID | $14.29 | 1 |
| IL | $14.96–$16.31 | 4 |
| IN | $14.36 | 1 |
| KS | $14.17 | 1 |
| KY | $14.31 | 1 |
| LA | $14.30–$14.92 | 2 |
| MA | $15.80–$17.27 | 2 |
| MD | $15.47–$17.35 | 3 |
| ME | $14.39–$15.04 | 2 |
| MI | $14.67–$15.51 | 2 |
| MN | $15.16 | 1 |
| MO | $14.10–$14.93 | 3 |
| MS | $13.94 | 1 |
| MT | $15.36 | 1 |
| NC | $14.52 | 1 |
| ND | $14.97 | 1 |
| NE | $14.25 | 1 |
| NH | $15.65 | 1 |
| NJ | $16.49–$17.21 | 2 |
| NM | $14.75 | 1 |
| NV | $15.26 | 1 |
| NY | $14.72–$18.00 | 5 |
| OH | $14.59 | 1 |
| OK | $14.25 | 1 |
| OR | $15.13–$16.29 | 2 |
| PA | $14.59–$15.97 | 2 |
| PR | $15.45 | 1 |
| RI | $15.70 | 1 |
| SC | $14.58 | 1 |
| SD | $14.92 | 1 |
| TN | $14.23 | 1 |
| TX | $14.51–$15.82 | 8 |
| UT | $14.76 | 1 |
| VA | $15.01–$17.35 | 2 |
| VI | $15.45 | 1 |
| VT | $14.94 | 1 |
| WA | $15.76–$17.57 | 2 |
| WI | $14.52 | 1 |
| WV | $14.47 | 1 |
| WY | $15.19 | 1 |
How the G0403 rate is calculated
Each of G0403’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G0403
RVUs × geographic indexes × conversion factor
Work0.17
0.17 RVUs× 1.000 GPCI
Practice expense0.27
0.27 RVUs× 1.000 GPCI
Malpractice0.02
0.02 RVUs× 1.000 GPCI
Adjusted RVUs
0.4600
Conversion factor
$33.4009
Medicare rate
$15.36
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Sacramento, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,232
- Code
- G0403
- Physician work
- 0.17
- Practice expense
- 0.27
- Malpractice
- 0.02
GPCI2026.csv
21
- Locality
- Sacramento, CA
- Physician work
- 1.036
- Practice expense
- 1.163
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.036 | 0.1761 |
| Practice expense | 0.27 | × 1.163 | 0.3140 |
| Malpractice | 0.02 | × 0.536 | 0.0107 |
| Total RVUs | 0.5009 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Sacramento, CA$16.73
Office: (0.17 × 1.036 + 0.27 × 1.163 + 0.02 × 0.536) × $33.4009 = $16.73
Payment rules and modifiers for G0403
The CMS indicators that decide how G0403 is paid alongside other services.
CMS payment indicators · G0403
Preventive ECG, initial preventive examination
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 4 | Global test only. |
How G0403 has changed in Sacramento, CA
G0403 · Office / nonfacility
$16.73
Effective 2026-10-01
The base rate is $1.71 higher than on 2025-10-01, moving from $15.02 to $16.73 (11.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$15.02changed to$16.73
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.24 changed to 0.27
- Work GPCI 1.034 changed to 1.036
- Practice expense GPCI 1.156 changed to 1.163
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$15.46changed to$15.02
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$15.21changed to$15.46
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$15.46changed to$15.21
- Conversion factor 33.8872 changed to 32.7442
- Work GPCI 1.036 changed to 1.034
- Practice expense GPCI 1.119 changed to 1.156
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$15.12changed to$15.46
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.23 changed to 0.24
- Work GPCI 1.038 changed to 1.036
- Practice expense GPCI 1.081 changed to 1.119
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$15.60changed to$15.12
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.24 changed to 0.23
- Work GPCI 1.036 changed to 1.038
- Practice expense GPCI 1.079 changed to 1.081
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$18.04changed to$15.60
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.29 changed to 0.24
- Work GPCI 1.033 changed to 1.036
- Practice expense GPCI 1.078 changed to 1.079
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$18.11changed to$18.04
- Conversion factor 36.0391 changed to 36.0896
- Work GPCI 1.027 changed to 1.033
- Practice expense GPCI 1.092 changed to 1.078
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$18.02changed to$18.11
- Conversion factor 35.9996 changed to 36.0391
- Work GPCI 1.025 changed to 1.027
- Practice expense GPCI 1.086 changed to 1.092
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$17.93changed to$18.02
- Conversion factor 35.8887 changed to 35.9996
- Work GPCI 1.024 changed to 1.025
- Practice expense GPCI 1.080 changed to 1.086
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$17.93
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $16.73 | Not available in this setting | RVU26D |
| 2026-07-01 | $16.73 | Not available in this setting | RVU26C |
| 2026-04-01 | $16.73 | Not available in this setting | RVU26B |
| 2026-01-01 | $16.73 | Not available in this setting | RVU26A |
| 2025-10-01 | $15.02 | Not available in this setting | RVU25D |
| 2025-07-01 | $15.02 | Not available in this setting | RVU25C |
| 2025-04-01 | $15.02 | Not available in this setting | RVU25B |
| 2025-01-01 | $15.02 | Not available in this setting | RVU25A |
| 2024-10-01 | $15.46 | Not available in this setting | RVU24D |
| 2024-07-01 | $15.46 | Not available in this setting | RVU24C |
| 2024-04-01 | $15.46 | Not available in this setting | RVU24B |
| 2024-03-09 | $15.46 | Not available in this setting | RVU24AR |
| 2024-01-01 | $15.21 | Not available in this setting | RVU24A |
| 2023-10-01 | $15.46 | Not available in this setting | RVU23D |
| 2023-07-01 | $15.46 | Not available in this setting | RVU23C |
| 2023-04-01 | $15.46 | Not available in this setting | RVU23B |
| 2023-01-01 | $15.46 | Not available in this setting | RVU23A |
| 2022-10-01 | $15.12 | Not available in this setting | RVU22D |
| 2022-07-01 | $15.12 | Not available in this setting | RVU22C |
| 2022-04-01 | $15.12 | Not available in this setting | RVU22B |
| 2022-01-01 | $15.12 | Not available in this setting | RVU22A |
| 2021-10-01 | $15.60 | Not available in this setting | RVU21D |
| 2021-07-01 | $15.60 | Not available in this setting | RVU21C |
| 2021-04-01 | $15.60 | Not available in this setting | RVU21B |
| 2021-01-01 | $15.60 | Not available in this setting | RVU21A |
| 2020-10-01 | $18.04 | Not available in this setting | RVU20D |
| 2020-07-01 | $18.04 | Not available in this setting | RVU20C |
| 2020-04-01 | $18.04 | Not available in this setting | RVU20B |
| 2020-01-01 | $18.04 | Not available in this setting | RVU20A |
| 2019-10-01 | $18.11 | Not available in this setting | RVU19D |
| 2019-07-01 | $18.11 | Not available in this setting | RVU19C |
| 2019-04-01 | $18.11 | Not available in this setting | RVU19B |
| 2019-01-01 | $18.11 | Not available in this setting | RVU19A |
| 2018-10-01 | $18.02 | Not available in this setting | RVU18D |
| 2018-07-01 | $18.02 | Not available in this setting | RVU18C |
| 2018-04-01 | $18.02 | Not available in this setting | RVU18B |
| 2018-01-01 | $18.02 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $17.93 | Not available in this setting | RVU17D |
| 2017-07-01 | $17.93 | Not available in this setting | RVU17C |
| 2017-04-01 | $17.93 | Not available in this setting | RVU17B |
| 2017-01-01 | $17.93 | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Sacramento, CA rate applies
Sacramento, CA is a Medicare payment area, not a city. Our Census mapping connects it to 89 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Folsom
- Roseville
- Sacramento
- Alta
- Antelope
- Arden-Arcade
- Auburn
- Auburn Lake Trails
G0403 billing questions
When should the practice report G0403 rather than G0404 or G0405?
Report G0403 when the complete ECG service is furnished and billed together. G0404 is for the tracing portion, and G0405 is for the interpretation and report portion.
Is G0403 the code for the initial preventive examination?
No. G0403 reports the ECG performed as part of that examination; G0402 represents the initial preventive physical examination.
What documentation supports G0403?
The record should show that the ECG was performed in connection with the initial preventive examination and include the tracing and its interpretation and report.
Can G0403 be reported when the practice provides only the tracing?
Use G0404 for the tracing portion when the complete test is not furnished and billed. G0403 represents the complete test service.
Can G0403 be reported when only the interpretation is provided?
Use G0405 for the interpretation and report portion when that is the service furnished. G0403 represents the complete test service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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