HCPCS code G0404: IPPE ECG, tracing only2026 Medicare rate & RVUs in Georgia
Reports the technical tracing portion of a 12-lead ECG obtained in connection with Medicare’s initial preventive physical examination.
Medicare pays $6.36–$7.19 for G0404 in the office in Georgia, from Rest of Georgia to Atlanta, GA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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 in Georgia
| Payment locality | Office | Facility |
|---|---|---|
| Atlanta, GA | $7.19 | Unavailable |
| Rest of Georgia | $6.36 | Unavailable |
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.
How the rate is built · G0404
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.20
0.20 RVUs× 1.000 GPCI
Malpractice0.01
0.01 RVUs× 1.000 GPCI
Adjusted RVUs
0.2100
Conversion factor
$33.4009
Medicare rate
$7.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for G0404
The CMS indicators that decide how G0404 is paid alongside other services.
CMS payment indicators · G0404
IPPE ECG, tracing only
| 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 | 3 | Technical component only. |
G0404 compared with similar codes
Compare codes · National
5 codes, side by side
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.
G0404 billing questions
When should G0404 be chosen instead of G0403?
Use G0404 for the tracing component alone. G0403 reports the combined tracing and interpretation-and-report service.
Can G0405 be billed with G0404?
Yes. G0405 reports the interpretation and report, while G0404 reports the technical tracing portion.
What documentation supports G0404?
Document that the 12-lead ECG was obtained in connection with the IPPE and retain the tracing. The interpretation and report should be documented for the service reported with G0405, when applicable.
Is G0404 for an ECG performed because of symptoms?
G0404 is for the tracing associated with the IPPE. An ECG performed to evaluate symptoms is a diagnostic service and belongs to the applicable standard ECG code family.
Does G0404 include the ECG interpretation?
No. G0404 covers the technical tracing only; G0405 is the separate code for the interpretation and report.
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.
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