HCPCS code G0403: Preventive ECG, initial preventive examination2026 Medicare rate & RVUs in Puerto Rico
Reports a 12-lead screening ECG performed as part of the initial preventive physical examination when the complete test service is furnished.
In Puerto Rico, Medicare pays $15.45 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 Puerto Rico 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. Puerto Rico pays $15.45. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$15.45
- Los Angeles, CA · California$17.02+$1.57
- Washington, DC area · District of Columbia$17.35+$1.90
- Miami, FL · Florida$16.76+$1.31
- Chicago, IL · Illinois$16.31+$0.86
- Manhattan, NY · New York$17.58+$2.13
- Alaska · Alaska$18.49+$3.04
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $13.95 | — |
| ArkansasArkansas | $13.77 | — |
| ArizonaArizona | $14.99 | — |
| Bakersfield, CACalifornia | $16.08 | — |
| Chico, CACalifornia | $16.02 | — |
| El Centro, CACalifornia | $16.02 | — |
| Fresno, CACalifornia | $16.02 | — |
| Hanford, CACalifornia | $16.02 | — |
| 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 | — |
| Sacramento, CACalifornia | $16.73 | — |
| 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 | — |
| 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 | — |
| 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 Puerto Rico 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
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.27 | × 1.011 | 0.2730 |
| Malpractice | 0.02 | × 0.985 | 0.0197 |
| Total RVUs | 0.4627 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Puerto Rico$15.45
Office: (0.17 × 1 + 0.27 × 1.011 + 0.02 × 0.985) × $33.4009 = $15.45
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 Puerto Rico
G0403 · Office / nonfacility
$15.45
Effective 2026-10-01
The base rate is $1.50 higher than on 2025-10-01, moving from $13.95 to $15.45 (10.8%).
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
$13.95changed to$15.45
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.24 changed to 0.27
- Practice expense GPCI 1.007 changed to 1.011
- Malpractice GPCI 0.982 changed to 0.985
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$14.36changed to$13.95
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$14.12changed to$14.36
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$14.63changed to$14.12
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 1.008 changed to 1.007
- Malpractice GPCI 0.984 changed to 0.982
October 1, 2023
RVU23D
$14.57changed to$14.63
- Practice expense GPCI 1.000 changed to 1.008
- Malpractice GPCI 1.000 changed to 0.984
January 1, 2023
RVU23A
$14.59changed to$14.57
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.23 changed to 0.24
- Practice expense GPCI 1.008 changed to 1.000
- Malpractice GPCI 0.986 changed to 1.000
Held through RVU23B, RVU23C.
January 1, 2022
RVU22A
$15.06changed to$14.59
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.24 changed to 0.23
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$17.40changed to$15.06
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.29 changed to 0.24
- Malpractice GPCI 0.988 changed to 0.986
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$17.36changed to$17.40
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 1.007 changed to 1.008
- Malpractice GPCI 0.990 changed to 0.988
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$17.35changed to$17.36
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$15.47changed to$17.35
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.856 changed to 1.007
- Malpractice GPCI 0.642 changed to 0.990
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$13.62changed to$15.47
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.705 changed to 0.856
- Malpractice GPCI 0.293 changed to 0.642
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$13.67changed to$13.62
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$13.60changed to$13.67
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$13.23changed to$13.60
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.28 changed to 0.29
- Practice expense GPCI 0.692 changed to 0.705
- Malpractice GPCI 0.271 changed to 0.293
Held through RVU15B.
January 1, 2014
RVU14A
$14.03changed to$13.23
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.35 changed to 0.28
- Practice expense GPCI 0.678 changed to 0.692
- Malpractice GPCI 0.249 changed to 0.271
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $14.03
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $15.45 | Not available in this setting | RVU26D |
| 2026-07-01 | $15.45 | Not available in this setting | RVU26C |
| 2026-04-01 | $15.45 | Not available in this setting | RVU26B |
| 2026-01-01 | $15.45 | Not available in this setting | RVU26A |
| 2025-10-01 | $13.95 | Not available in this setting | RVU25D |
| 2025-07-01 | $13.95 | Not available in this setting | RVU25C |
| 2025-04-01 | $13.95 | Not available in this setting | RVU25B |
| 2025-01-01 | $13.95 | Not available in this setting | RVU25A |
| 2024-10-01 | $14.36 | Not available in this setting | RVU24D |
| 2024-07-01 | $14.36 | Not available in this setting | RVU24C |
| 2024-04-01 | $14.36 | Not available in this setting | RVU24B |
| 2024-03-09 | $14.36 | Not available in this setting | RVU24AR |
| 2024-01-01 | $14.12 | Not available in this setting | RVU24A |
| 2023-10-01 | $14.63 | Not available in this setting | RVU23D |
| 2023-07-01 | $14.57 | Not available in this setting | RVU23C |
| 2023-04-01 | $14.57 | Not available in this setting | RVU23B |
| 2023-01-01 | $14.57 | Not available in this setting | RVU23A |
| 2022-10-01 | $14.59 | Not available in this setting | RVU22D |
| 2022-07-01 | $14.59 | Not available in this setting | RVU22C |
| 2022-04-01 | $14.59 | Not available in this setting | RVU22B |
| 2022-01-01 | $14.59 | Not available in this setting | RVU22A |
| 2021-10-01 | $15.06 | Not available in this setting | RVU21D |
| 2021-07-01 | $15.06 | Not available in this setting | RVU21C |
| 2021-04-01 | $15.06 | Not available in this setting | RVU21B |
| 2021-01-01 | $15.06 | Not available in this setting | RVU21A |
| 2020-10-01 | $17.40 | Not available in this setting | RVU20D |
| 2020-07-01 | $17.40 | Not available in this setting | RVU20C |
| 2020-04-01 | $17.40 | Not available in this setting | RVU20B |
| 2020-01-01 | $17.40 | Not available in this setting | RVU20A |
| 2019-10-01 | $17.36 | Not available in this setting | RVU19D |
| 2019-07-01 | $17.36 | Not available in this setting | RVU19C |
| 2019-04-01 | $17.36 | Not available in this setting | RVU19B |
| 2019-01-01 | $17.36 | Not available in this setting | RVU19A |
| 2018-10-01 | $17.35 | Not available in this setting | RVU18D |
| 2018-07-01 | $17.35 | Not available in this setting | RVU18C |
| 2018-04-01 | $17.35 | Not available in this setting | RVU18B |
| 2018-01-01 | $17.35 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $15.47 | Not available in this setting | RVU17D |
| 2017-07-01 | $15.47 | Not available in this setting | RVU17C |
| 2017-04-01 | $15.47 | Not available in this setting | RVU17B |
| 2017-01-01 | $15.47 | Not available in this setting | RVU17A |
| 2016-10-01 | $13.62 | Not available in this setting | RVU16D |
| 2016-07-01 | $13.62 | Not available in this setting | RVU16C |
| 2016-04-01 | $13.62 | Not available in this setting | RVU16B |
| 2016-01-01 | $13.62 | Not available in this setting | RVU16A |
| 2015-10-01 | $13.67 | Not available in this setting | RVU15D |
| 2015-07-01 | $13.67 | Not available in this setting | RVU15C |
| 2015-04-01 | $13.60 | Not available in this setting | RVU15B |
| 2015-01-01 | $13.60 | Not available in this setting | RVU15A |
| 2014-10-01 | $13.23 | Not available in this setting | RVU14D |
| 2014-07-01 | $13.23 | Not available in this setting | RVU14C |
| 2014-04-01 | $13.23 | Not available in this setting | RVU14B |
| 2014-01-01 | $13.23 | Not available in this setting | RVU14A |
| 2013-10-01 | $14.03 | Not available in this setting | RVU13D |
| 2013-07-01 | $14.03 | Not available in this setting | RVU13C |
| 2013-04-01 | $14.03 | Not available in this setting | RVU13B |
| 2013-01-01 | $14.03 | Not available in this setting | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
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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