HCPCS code G0405: ECG interpretation, IPPE screening only2026 Medicare rate & RVUs in Connecticut

Reports the professional interpretation of a screening ECG performed during the initial preventive physical examination, separate from the tracing service.

CMS RVU26DEffective Oct 1, 2026One payment locality12.8K Medicare services in 2024

In Connecticut, Medicare pays $8.71 for G0405 in the office and $8.71 when it’s performed in a hospital or facility.

$8.71Office (non-facility)
$8.71Hospital or facility
+4.3%vs the national office rate ($8.35)

Check a contract rate as a % of Medicare · G0405 nationwide

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

We’ll open G0405 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What G0405 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What G0405 covers

G0405 covers a physician’s interpretation and written report for a screening ECG performed as part of the initial preventive physical examination, commonly called the Welcome to Medicare visit. The physician reviews the ECG tracing and documents findings such as rhythm, rate, intervals, or conduction abnormalities. The code represents the professional reading, not acquisition of the tracing, and is used in office or facility settings where the IPPE and screening ECG are performed.

Report G0405 when the professional interpretation and report are documented for the IPPE screening ECG. The record should connect the ECG to the preventive examination and include the interpretation and report. CMS identifies G0405 as professional-component-only; the technical portion is reported separately with G0404. G0403 represents the combined screening ECG service when both the tracing and interpretation are furnished.

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 Connecticut compares for G0405

Across 109 of 109 payment localities, the office rate for G0405 runs from $7.86 in Arkansas to $11.19 in Alaska. Connecticut pays $8.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0405 in Connecticut vs other payment areas
  1. Connecticut · this page$8.71
  2. Los Angeles, CA · California$8.90+$0.19
  3. Washington, DC area · District of Columbia$9.11+$0.40
  4. Miami, FL · Florida$8.96+$0.25
  5. Chicago, IL · Illinois$8.83+$0.12
  6. Manhattan, NY · New York$9.29+$0.58
  7. Alaska · Alaska$11.19+$2.48

Other areas in Connecticut first, then benchmark localities. Bars start at $0.

Every other payment area

G0405 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$7.91$7.91
ArkansasArkansas$7.86$7.86
ArizonaArizona$8.23$8.23
Bakersfield, CACalifornia$8.55$8.55
Chico, CACalifornia$8.52$8.52
El Centro, CACalifornia$8.52$8.52
Fresno, CACalifornia$8.52$8.52
Hanford, CACalifornia$8.52$8.52

G0405 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.

$7.86

$11.19

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0405 office rate range by state
State / territoryOffice rate rangeLocalities
AK$11.191
AL$7.911
AR$7.861
AZ$8.231
CA$8.52–$9.8529
CO$8.491
CT$8.711
DC$9.111
DE$8.321
FL$8.42–$8.963
GA$8.16–$8.472
GU$8.531
HI$8.531
IA$7.951
ID$7.991
IL$8.33–$8.834
IN$8.011
KS$7.961
KY$8.061
LA$8.07–$8.262
MA$8.50–$9.002
MD$8.41–$9.113
ME$8.04–$8.212
MI$8.19–$8.502
MN$8.181
MO$8.02–$8.243
MS$7.941
MT$8.351
NC$8.071
ND$8.151
NE$7.961
NH$8.401
NJ$8.82–$9.102
NM$8.221
NV$8.301
NY$8.13–$9.445
OH$8.151
OK$8.031
OR$8.24–$8.622
PA$8.14–$8.612
PR$8.371
RI$8.501
SC$8.121
SD$8.131
TN$7.981
TX$8.12–$8.508
UT$8.181
VA$8.21–$9.112
VI$8.371
VT$8.161
WA$8.47–$9.102
WI$8.021
WV$8.191
WY$8.261

See G0405 in every payment locality

How the G0405 rate is calculated

Each of G0405’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 · G0405

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.17

0.17 RVUs× 1.000 GPCI

Practice expense0.07

0.07 RVUs× 1.000 GPCI

Malpractice0.01

0.01 RVUs× 1.000 GPCI

Adjusted RVUs

0.2500

Conversion factor

$33.4009

Medicare rate

$8.35

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,234

Code
G0405
Physician work
0.17
Practice expense
0.07
Malpractice
0.01

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for G0405 in Connecticut
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0200.1734
Practice expense0.07× 1.0770.0754
Malpractice0.01× 1.2100.0121
Total RVUs0.2609
Conversion factor× 33.4009

Office rate, Connecticut$8.71

Office: (0.17 × 1.02 + 0.07 × 1.077 + 0.01 × 1.21) × $33.4009 = $8.71

Facility: (0.17 × 1.02 + 0.07 × 1.077 + 0.01 × 1.21) × $33.4009 = $8.71

Open G0405 in the RVU calculator

Payment rules and modifiers for G0405

The CMS indicators that decide how G0405 is paid alongside other services.

CMS payment indicators · G0405

ECG interpretation, IPPE screening only

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical2Professional component only.

How G0405 has changed in Connecticut

G0405 · Office / nonfacility

$8.71

Effective 2026-10-01

The base rate is $0.58 higher than on 2025-10-01, moving from $8.13 to $8.71 (7.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $8.13changed to$8.71

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.06 changed to 0.07
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $8.36changed to$8.13

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $8.23changed to$8.36

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $8.54changed to$8.23

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207
  5. January 1, 2023

    RVU23A

    $8.74changed to$8.54

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $8.81changed to$8.74

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $9.12changed to$8.81

    • Conversion factor 36.0896 changed to 34.8931
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $9.11changed to$9.12

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $9.10changed to$9.11

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $9.09changed to$9.10

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $9.08changed to$9.09

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $9.11changed to$9.08

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $9.07changed to$9.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $9.08changed to$9.07

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $8.61changed to$9.08

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $8.61

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$8.71$8.71RVU26D
2026-07-01$8.71$8.71RVU26C
2026-04-01$8.71$8.71RVU26B
2026-01-01$8.71$8.71RVU26A
2025-10-01$8.13$8.13RVU25D
2025-07-01$8.13$8.13RVU25C
2025-04-01$8.13$8.13RVU25B
2025-01-01$8.13$8.13RVU25A
2024-10-01$8.36$8.36RVU24D
2024-07-01$8.36$8.36RVU24C
2024-04-01$8.36$8.36RVU24B
2024-03-09$8.36$8.36RVU24AR
2024-01-01$8.23$8.23RVU24A
2023-10-01$8.54$8.54RVU23D
2023-07-01$8.54$8.54RVU23C
2023-04-01$8.54$8.54RVU23B
2023-01-01$8.54$8.54RVU23A
2022-10-01$8.74$8.74RVU22D
2022-07-01$8.74$8.74RVU22C
2022-04-01$8.74$8.74RVU22B
2022-01-01$8.74$8.74RVU22A
2021-10-01$8.81$8.81RVU21D
2021-07-01$8.81$8.81RVU21C
2021-04-01$8.81$8.81RVU21B
2021-01-01$8.81$8.81RVU21A
2020-10-01$9.12$9.12RVU20D
2020-07-01$9.12$9.12RVU20C
2020-04-01$9.12$9.12RVU20B
2020-01-01$9.12$9.12RVU20A
2019-10-01$9.11$9.11RVU19D
2019-07-01$9.11$9.11RVU19C
2019-04-01$9.11$9.11RVU19B
2019-01-01$9.11$9.11RVU19A
2018-10-01$9.10$9.10RVU18D
2018-07-01$9.10$9.10RVU18C
2018-04-01$9.10$9.10RVU18B
2018-01-01$9.10$9.10RVU18AR1
2017-10-01$9.09$9.09RVU17D
2017-07-01$9.09$9.09RVU17C
2017-04-01$9.09$9.09RVU17B
2017-01-01$9.09$9.09RVU17A
2016-10-01$9.08$9.08RVU16D
2016-07-01$9.08$9.08RVU16C
2016-04-01$9.08$9.08RVU16B
2016-01-01$9.08$9.08RVU16A
2015-10-01$9.11$9.11RVU15D
2015-07-01$9.11$9.11RVU15C
2015-04-01$9.07$9.07RVU15B
2015-01-01$9.07$9.07RVU15A
2014-10-01$9.08$9.08RVU14D
2014-07-01$9.08$9.08RVU14C
2014-04-01$9.08$9.08RVU14B
2014-01-01$9.08$9.08RVU14A
2013-10-01$8.61$8.61RVU13D
2013-07-01$8.61$8.61RVU13C
2013-04-01$8.61$8.61RVU13B
2013-01-01$8.61$8.61RVU13AR

Price G0405 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

G0405 billing questions

Can G0405 be used for any ECG interpretation?

No. G0405 is for the professional interpretation and report of a screening ECG performed during the initial preventive physical examination. An ECG read for another clinical purpose uses the applicable ECG code for that service.

Which code covers the ECG tracing?

G0404 covers the tracing portion of the IPPE screening ECG. G0405 covers the interpretation and report; G0403 represents the combined service.

How does G0405 differ from 93010?

G0405 is specific to interpretation and reporting of the IPPE screening ECG. Code 93010 is the interpretation-and-report portion of a standard ECG service in other circumstances.

Does G0405 need modifier 26?

G0405 already identifies the professional interpretation-and-report service. The technical tracing is represented separately by G0404.

What documentation supports G0405?

Document that the ECG was obtained for screening during the IPPE and retain the physician’s interpretation and report. The record should distinguish the reading from the tracing 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
RVUs for G0405PPRRVU2026_Oct_nonQPP.csv, line 15,234 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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