HCPCS code G0404: IPPE ECG, tracing only2026 Medicare rate & RVUs in New Mexico
Reports the technical tracing portion of a 12-lead ECG obtained in connection with Medicare’s initial preventive physical examination.
In New Mexico, Medicare pays $6.53 for G0404 in the office.
Check a contract rate as a % of Medicare · G0404 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 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.
How New Mexico compares for G0404
Across 109 of 109 payment localities, the office rate for G0404 runs from $5.91 in Arkansas to $9.81 in San Benito County, CA. New Mexico pays $6.53. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$6.53
- Los Angeles, CA · California$8.12+$1.59
- Washington, DC area · District of Columbia$8.24+$1.71
- Miami, FL · Florida$7.80+$1.27
- Chicago, IL · Illinois$7.48+$0.95
- Manhattan, NY · New York$8.29+$1.76
- Alaska · Alaska$7.30+$0.77
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $6.03 | — |
| ArkansasArkansas | $5.91 | — |
| ArizonaArizona | $6.76 | — |
| Bakersfield, CACalifornia | $7.52 | — |
| Chico, CACalifornia | $7.50 | — |
| El Centro, CACalifornia | $7.50 | — |
| Fresno, CACalifornia | $7.50 | — |
| Hanford, CACalifornia | $7.50 | — |
| Madera, CACalifornia | $7.50 | — |
| Merced, CACalifornia | $7.50 | — |
| Modesto, CACalifornia | $7.50 | — |
| Napa, CACalifornia | $8.97 | — |
| Oxnard, CACalifornia | $8.10 | — |
| Redding, CACalifornia | $7.50 | — |
| Rest of CaliforniaCalifornia | $7.50 | — |
| Riverside, CACalifornia | $7.61 | — |
| Sacramento, CACalifornia | $7.95 | — |
| Salinas, CACalifornia | $7.92 | — |
| San Diego, CACalifornia | $8.17 | — |
| Marin County, CACalifornia | $9.57 | — |
| San Francisco, CACalifornia | $9.56 | — |
| San Benito County, CACalifornia | $9.81 | — |
| Santa Clara County, CACalifornia | $9.77 | — |
| San Luis Obispo, CACalifornia | $7.79 | — |
| Santa Cruz, CACalifornia | $8.30 | — |
| Santa Maria, CACalifornia | $7.97 | — |
| Santa Rosa, CACalifornia | $8.38 | — |
| Stockton, CACalifornia | $7.50 | — |
| Vallejo, CACalifornia | $8.96 | — |
| Visalia, CACalifornia | $7.50 | — |
| Yuba City, CACalifornia | $7.50 | — |
| ColoradoColorado | $7.37 | — |
| ConnecticutConnecticut | $7.60 | — |
| DelawareDelaware | $6.90 | — |
| Fort Lauderdale, FLFlorida | $7.37 | — |
| Rest of FloridaFlorida | $6.89 | — |
| Atlanta, GAGeorgia | $7.19 | — |
| Rest of GeorgiaGeorgia | $6.36 | — |
| Hawaii, Guam, HIHawaii | $7.79 | — |
| IowaIowa | $6.24 | — |
| IdahoIdaho | $6.30 | — |
| East St. Louis, ILIllinois | $6.82 | — |
| Rest of IllinoisIllinois | $6.62 | — |
| Suburban Chicago, ILIllinois | $7.45 | — |
| IndianaIndiana | $6.35 | — |
| KansasKansas | $6.21 | — |
| KentuckyKentucky | $6.24 | — |
| New Orleans, LALouisiana | $6.67 | — |
| Rest of LouisianaLouisiana | $6.23 | — |
| Metropolitan Boston, MAMassachusetts | $8.27 | — |
| Rest of MassachusettsMassachusetts | $7.30 | — |
| Baltimore area, MDMaryland | $7.58 | — |
| Rest of MarylandMaryland | $7.07 | — |
| Rest of MaineMaine | $6.35 | — |
| Southern Maine, MEMaine | $6.83 | — |
| Detroit, MIMichigan | $7.01 | — |
| Rest of MichiganMichigan | $6.48 | — |
| MinnesotaMinnesota | $6.97 | — |
| Metropolitan Kansas City, MOMissouri | $6.60 | — |
| Metropolitan St. Louis, MOMissouri | $6.69 | — |
| Rest of MissouriMissouri | $6.08 | — |
| MississippiMississippi | $6.00 | — |
| MontanaMontana | $7.01 | — |
| North CarolinaNorth Carolina | $6.45 | — |
| North DakotaNorth Dakota | $6.82 | — |
| NebraskaNebraska | $6.29 | — |
| New HampshireNew Hampshire | $7.25 | — |
| Northern New JerseyNew Jersey | $8.11 | — |
| Rest of New JerseyNew Jersey | $7.66 | — |
| NevadaNevada | $6.97 | — |
| NYC suburbs and Long Island, NYNew York | $8.56 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $7.72 | — |
| Queens, NYNew York | $8.38 | — |
| Rest of New YorkNew York | $6.58 | — |
| OhioOhio | $6.44 | — |
| OklahomaOklahoma | $6.22 | — |
| Portland, OROregon | $7.67 | — |
| Rest of OregonOregon | $6.89 | — |
| Metropolitan Philadelphia, PAPennsylvania | $7.35 | — |
| Rest of PennsylvaniaPennsylvania | $6.45 | — |
| Puerto RicoPuerto Rico | $7.08 | — |
| Rhode IslandRhode Island | $7.20 | — |
| South CarolinaSouth Carolina | $6.46 | — |
| South DakotaSouth Dakota | $6.79 | — |
| TennesseeTennessee | $6.25 | — |
| Austin, TXTexas | $7.36 | — |
| Beaumont, TXTexas | $6.39 | — |
| Brazoria, TXTexas | $6.88 | — |
| Dallas, TXTexas | $6.94 | — |
| Fort Worth, TXTexas | $6.88 | — |
| Galveston, TXTexas | $6.91 | — |
| Houston, TXTexas | $7.09 | — |
| Rest of TexasTexas | $6.64 | — |
| UtahUtah | $6.58 | — |
| VirginiaVirginia | $6.80 | — |
| Virgin Islands, VIUnited States Virgin Islands | $7.08 | — |
| VermontVermont | $6.78 | — |
| Rest of WashingtonWashington | $7.29 | — |
| King County, WAWashington | $8.47 | — |
| WisconsinWisconsin | $6.50 | — |
| West VirginiaWest Virginia | $6.28 | — |
| WyomingWyoming | $6.93 | — |
G0404 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.
$5.91
$8.66
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 | $7.30 | 1 |
| AL | $6.03 | 1 |
| AR | $5.91 | 1 |
| AZ | $6.76 | 1 |
| CA | $7.50–$9.81 | 29 |
| CO | $7.37 | 1 |
| CT | $7.60 | 1 |
| DC | $8.24 | 1 |
| DE | $6.90 | 1 |
| FL | $6.89–$7.80 | 3 |
| GA | $6.36–$7.19 | 2 |
| GU | $7.79 | 1 |
| HI | $7.79 | 1 |
| IA | $6.24 | 1 |
| ID | $6.30 | 1 |
| IL | $6.62–$7.48 | 4 |
| IN | $6.35 | 1 |
| KS | $6.21 | 1 |
| KY | $6.24 | 1 |
| LA | $6.23–$6.67 | 2 |
| MA | $7.30–$8.27 | 2 |
| MD | $7.07–$8.24 | 3 |
| ME | $6.35–$6.83 | 2 |
| MI | $6.48–$7.01 | 2 |
| MN | $6.97 | 1 |
| MO | $6.08–$6.69 | 3 |
| MS | $6.00 | 1 |
| MT | $7.01 | 1 |
| NC | $6.45 | 1 |
| ND | $6.82 | 1 |
| NE | $6.29 | 1 |
| NH | $7.25 | 1 |
| NJ | $7.66–$8.11 | 2 |
| NM | $6.53 | 1 |
| NV | $6.97 | 1 |
| NY | $6.58–$8.56 | 5 |
| OH | $6.44 | 1 |
| OK | $6.22 | 1 |
| OR | $6.89–$7.67 | 2 |
| PA | $6.45–$7.35 | 2 |
| PR | $7.08 | 1 |
| RI | $7.20 | 1 |
| SC | $6.46 | 1 |
| SD | $6.79 | 1 |
| TN | $6.25 | 1 |
| TX | $6.39–$7.36 | 8 |
| UT | $6.58 | 1 |
| VA | $6.80–$8.24 | 2 |
| VI | $7.08 | 1 |
| VT | $6.78 | 1 |
| WA | $7.29–$8.47 | 2 |
| WI | $6.50 | 1 |
| WV | $6.28 | 1 |
| WY | $6.93 | 1 |
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.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,233
- Code
- G0404
- Physician work
- 0.00
- Practice expense
- 0.20
- Malpractice
- 0.01
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 0.20 | × 0.917 | 0.1834 |
| Malpractice | 0.01 | × 1.201 | 0.0120 |
| Total RVUs | 0.1954 | ||
| Conversion factor | × 33.4009 | ||
Office rate, New Mexico$6.53
Office: (0 × 1 + 0.2 × 0.917 + 0.01 × 1.201) × $33.4009 = $6.53
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. |
How G0404 has changed in New Mexico
G0404 · Office / nonfacility
$6.53
Effective 2026-10-01
The base rate is $0.86 higher than on 2025-10-01, moving from $5.67 to $6.53 (15.2%).
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
$5.67changed to$6.53
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.18 changed to 0.20
- Practice expense GPCI 0.908 changed to 0.917
- Malpractice GPCI 1.172 changed to 1.201
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$5.83changed to$5.67
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$5.74changed to$5.83
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$5.90changed to$5.74
- Conversion factor 33.8872 changed to 32.7442
- Practice expense GPCI 0.902 changed to 0.908
- Malpractice GPCI 1.169 changed to 1.172
January 1, 2023
RVU23A
$5.67changed to$5.90
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 0.17 changed to 0.18
- Practice expense GPCI 0.896 changed to 0.902
- Malpractice GPCI 1.166 changed to 1.169
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$6.03changed to$5.67
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 0.18 changed to 0.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$7.97changed to$6.03
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 0.23 changed to 0.18
- Practice expense GPCI 0.908 changed to 0.896
- Malpractice GPCI 1.207 changed to 1.166
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$8.08changed to$7.97
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.921 changed to 0.908
- Malpractice GPCI 1.247 changed to 1.207
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$8.07changed to$8.08
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$8.03changed to$8.07
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.920 changed to 0.921
- Malpractice GPCI 1.204 changed to 1.247
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$7.98changed to$8.03
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.919 changed to 0.920
- Malpractice GPCI 1.161 changed to 1.204
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$8.01changed to$7.98
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$7.97changed to$8.01
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$7.62changed to$7.97
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 0.22 changed to 0.23
- Practice expense GPCI 0.918 changed to 0.919
- Malpractice GPCI 1.079 changed to 1.161
Held through RVU15B.
January 1, 2014
RVU14A
$9.38changed to$7.62
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 0.29 changed to 0.22
- Practice expense GPCI 0.916 changed to 0.918
- Malpractice GPCI 0.997 changed to 1.079
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $9.38
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $6.53 | Not available in this setting | RVU26D |
| 2026-07-01 | $6.53 | Not available in this setting | RVU26C |
| 2026-04-01 | $6.53 | Not available in this setting | RVU26B |
| 2026-01-01 | $6.53 | Not available in this setting | RVU26A |
| 2025-10-01 | $5.67 | Not available in this setting | RVU25D |
| 2025-07-01 | $5.67 | Not available in this setting | RVU25C |
| 2025-04-01 | $5.67 | Not available in this setting | RVU25B |
| 2025-01-01 | $5.67 | Not available in this setting | RVU25A |
| 2024-10-01 | $5.83 | Not available in this setting | RVU24D |
| 2024-07-01 | $5.83 | Not available in this setting | RVU24C |
| 2024-04-01 | $5.83 | Not available in this setting | RVU24B |
| 2024-03-09 | $5.83 | Not available in this setting | RVU24AR |
| 2024-01-01 | $5.74 | Not available in this setting | RVU24A |
| 2023-10-01 | $5.90 | Not available in this setting | RVU23D |
| 2023-07-01 | $5.90 | Not available in this setting | RVU23C |
| 2023-04-01 | $5.90 | Not available in this setting | RVU23B |
| 2023-01-01 | $5.90 | Not available in this setting | RVU23A |
| 2022-10-01 | $5.67 | Not available in this setting | RVU22D |
| 2022-07-01 | $5.67 | Not available in this setting | RVU22C |
| 2022-04-01 | $5.67 | Not available in this setting | RVU22B |
| 2022-01-01 | $5.67 | Not available in this setting | RVU22A |
| 2021-10-01 | $6.03 | Not available in this setting | RVU21D |
| 2021-07-01 | $6.03 | Not available in this setting | RVU21C |
| 2021-04-01 | $6.03 | Not available in this setting | RVU21B |
| 2021-01-01 | $6.03 | Not available in this setting | RVU21A |
| 2020-10-01 | $7.97 | Not available in this setting | RVU20D |
| 2020-07-01 | $7.97 | Not available in this setting | RVU20C |
| 2020-04-01 | $7.97 | Not available in this setting | RVU20B |
| 2020-01-01 | $7.97 | Not available in this setting | RVU20A |
| 2019-10-01 | $8.08 | Not available in this setting | RVU19D |
| 2019-07-01 | $8.08 | Not available in this setting | RVU19C |
| 2019-04-01 | $8.08 | Not available in this setting | RVU19B |
| 2019-01-01 | $8.08 | Not available in this setting | RVU19A |
| 2018-10-01 | $8.07 | Not available in this setting | RVU18D |
| 2018-07-01 | $8.07 | Not available in this setting | RVU18C |
| 2018-04-01 | $8.07 | Not available in this setting | RVU18B |
| 2018-01-01 | $8.07 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $8.03 | Not available in this setting | RVU17D |
| 2017-07-01 | $8.03 | Not available in this setting | RVU17C |
| 2017-04-01 | $8.03 | Not available in this setting | RVU17B |
| 2017-01-01 | $8.03 | Not available in this setting | RVU17A |
| 2016-10-01 | $7.98 | Not available in this setting | RVU16D |
| 2016-07-01 | $7.98 | Not available in this setting | RVU16C |
| 2016-04-01 | $7.98 | Not available in this setting | RVU16B |
| 2016-01-01 | $7.98 | Not available in this setting | RVU16A |
| 2015-10-01 | $8.01 | Not available in this setting | RVU15D |
| 2015-07-01 | $8.01 | Not available in this setting | RVU15C |
| 2015-04-01 | $7.97 | Not available in this setting | RVU15B |
| 2015-01-01 | $7.97 | Not available in this setting | RVU15A |
| 2014-10-01 | $7.62 | Not available in this setting | RVU14D |
| 2014-07-01 | $7.62 | Not available in this setting | RVU14C |
| 2014-04-01 | $7.62 | Not available in this setting | RVU14B |
| 2014-01-01 | $7.62 | Not available in this setting | RVU14A |
| 2013-10-01 | $9.38 | Not available in this setting | RVU13D |
| 2013-07-01 | $9.38 | Not available in this setting | RVU13C |
| 2013-04-01 | $9.38 | Not available in this setting | RVU13B |
| 2013-01-01 | $9.38 | Not available in this setting | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
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.
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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