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

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 Delaware, Medicare pays $8.32 for G0405 in the office and $8.32 when it’s performed in a hospital or facility.

$8.32Office (non-facility)
$8.32Hospital or facility
−0.4%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 Delaware
  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 Delaware 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. Delaware pays $8.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0405 in Delaware vs other payment areas
  1. Delaware · this page$8.32
  2. Los Angeles, CA · California$8.90+$0.58
  3. Washington, DC area · District of Columbia$9.11+$0.79
  4. Miami, FL · Florida$8.96+$0.64
  5. Chicago, IL · Illinois$8.83+$0.51
  6. Manhattan, NY · New York$9.29+$0.97
  7. Alaska · Alaska$11.19+$2.87

Other areas in Delaware 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 Delaware 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

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for G0405 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0050.1709
Practice expense0.07× 0.9880.0692
Malpractice0.01× 0.8990.0090
Total RVUs0.2490
Conversion factor× 33.4009

Office rate, Delaware$8.32

Office: (0.17 × 1.005 + 0.07 × 0.988 + 0.01 × 0.899) × $33.4009 = $8.32

Facility: (0.17 × 1.005 + 0.07 × 0.988 + 0.01 × 0.899) × $33.4009 = $8.32

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 Delaware

G0405 · Office / nonfacility

$8.32

Effective 2026-10-01

The base rate is $0.54 higher than on 2025-10-01, moving from $7.78 to $8.32 (6.9%).

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

    $7.78changed to$8.32

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.06 changed to 0.07
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $8.01changed to$7.78

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $7.88changed to$8.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $8.17changed to$7.88

    • Conversion factor 33.8872 changed to 32.7442
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949
  5. January 1, 2023

    RVU23A

    $8.36changed to$8.17

    • Conversion factor 34.6062 changed to 33.8872
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $8.42changed to$8.36

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $8.75changed to$8.42

    • Conversion factor 36.0896 changed to 34.8931
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $8.78changed to$8.75

    • Conversion factor 36.0391 changed to 36.0896
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $8.77changed to$8.78

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $8.76changed to$8.77

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $8.76changed to$8.76

    • Conversion factor 35.8043 changed to 35.8887
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $8.79changed to$8.76

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $8.75changed to$8.79

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $8.71changed to$8.75

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $8.21changed to$8.71

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $8.21

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$8.32$8.32RVU26D
2026-07-01$8.32$8.32RVU26C
2026-04-01$8.32$8.32RVU26B
2026-01-01$8.32$8.32RVU26A
2025-10-01$7.78$7.78RVU25D
2025-07-01$7.78$7.78RVU25C
2025-04-01$7.78$7.78RVU25B
2025-01-01$7.78$7.78RVU25A
2024-10-01$8.01$8.01RVU24D
2024-07-01$8.01$8.01RVU24C
2024-04-01$8.01$8.01RVU24B
2024-03-09$8.01$8.01RVU24AR
2024-01-01$7.88$7.88RVU24A
2023-10-01$8.17$8.17RVU23D
2023-07-01$8.17$8.17RVU23C
2023-04-01$8.17$8.17RVU23B
2023-01-01$8.17$8.17RVU23A
2022-10-01$8.36$8.36RVU22D
2022-07-01$8.36$8.36RVU22C
2022-04-01$8.36$8.36RVU22B
2022-01-01$8.36$8.36RVU22A
2021-10-01$8.42$8.42RVU21D
2021-07-01$8.42$8.42RVU21C
2021-04-01$8.42$8.42RVU21B
2021-01-01$8.42$8.42RVU21A
2020-10-01$8.75$8.75RVU20D
2020-07-01$8.75$8.75RVU20C
2020-04-01$8.75$8.75RVU20B
2020-01-01$8.75$8.75RVU20A
2019-10-01$8.78$8.78RVU19D
2019-07-01$8.78$8.78RVU19C
2019-04-01$8.78$8.78RVU19B
2019-01-01$8.78$8.78RVU19A
2018-10-01$8.77$8.77RVU18D
2018-07-01$8.77$8.77RVU18C
2018-04-01$8.77$8.77RVU18B
2018-01-01$8.77$8.77RVU18AR1
2017-10-01$8.76$8.76RVU17D
2017-07-01$8.76$8.76RVU17C
2017-04-01$8.76$8.76RVU17B
2017-01-01$8.76$8.76RVU17A
2016-10-01$8.76$8.76RVU16D
2016-07-01$8.76$8.76RVU16C
2016-04-01$8.76$8.76RVU16B
2016-01-01$8.76$8.76RVU16A
2015-10-01$8.79$8.79RVU15D
2015-07-01$8.79$8.79RVU15C
2015-04-01$8.75$8.75RVU15B
2015-01-01$8.75$8.75RVU15A
2014-10-01$8.71$8.71RVU14D
2014-07-01$8.71$8.71RVU14C
2014-04-01$8.71$8.71RVU14B
2014-01-01$8.71$8.71RVU14A
2013-10-01$8.21$8.21RVU13D
2013-07-01$8.21$8.21RVU13C
2013-04-01$8.21$8.21RVU13B
2013-01-01$8.21$8.21RVU13AR

Price G0405 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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 DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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