HCPCS code G0404: IPPE ECG, tracing only2026 Medicare rate & RVUs

Medicare pays $7.01 for G0404 nationally in the office. Local office rates run $5.91–$9.81.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What G0404 covers

G0404 reports the recording portion of a 12-lead electrocardiogram obtained in connection with Medicare’s initial preventive physical examination (IPPE, often called the Welcome to Medicare visit). It represents the technical work of acquiring the tracing in a physician office or other setting where the IPPE is furnished; it does not include a clinician’s interpretation or written report. Office clinical staff may capture the tracing as part of the visit.

Report G0404 when the IPPE ECG is performed and the claim is for the tracing component. Pair it with G0405 when the interpretation and report are separately furnished; G0403 represents the combined tracing-and-interpretation service. Documentation should link the ECG to the IPPE and retain the 12-lead tracing, with the interpretation documented under the reporting service. A symptom-driven diagnostic ECG is a different circumstance; use the applicable standard ECG code for that service rather than treating it as the IPPE tracing.

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.

Where G0404 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

G0404 rates by state

Office rate range in each state. Select a state to see its payment localities.

How the G0404 rate is calculated

Each of G0404’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.

Payment rules and modifiers for G0404

The CMS indicators that decide how G0404 is paid alongside other services.

G0404 compared with similar codes

How to choose

G0403Preventive ECGInitial preventive examination

G0403 reports the ECG tracing together with interpretation and report. G0404 is limited to the tracing component.

G0405ECG interpretationIPPE screening only

G0405 covers interpretation and report without the tracing; G0404 covers the tracing without interpretation.

G0402Welcome visitFirst 12 months of Part B

G0402 reports the initial preventive physical examination itself. G0404 reports only the technical tracing portion of an ECG associated with that examination.

93005ECG tracingTracing only

93005 is the tracing-only code for a standard diagnostic ECG. G0404 is specific to the ECG obtained in connection with the IPPE.

Codes related to G0404

Related codes aren’t interchangeable: bill the code that matches the service performed.

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

Open CMS sourceHow we calculate rates