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

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 Miami, FL, Medicare pays $8.96 for G0405 in the office and $8.96 when it’s performed in a hospital or facility.

$8.96Office (non-facility)
$8.96Hospital or facility
+7.3%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 Miami, FL
  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 Miami, FL 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. Miami, FL pays $8.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0405 in Miami, FL vs other payment areas
  1. Miami, FL · this page$8.96
  2. Fort Lauderdale, FL · Florida$8.65−$0.31
  3. Rest of Florida · Florida$8.42−$0.54
  4. Los Angeles, CA · California$8.90−$0.06
  5. Washington, DC area · District of Columbia$9.11+$0.15
  6. Chicago, IL · Illinois$8.83−$0.13
  7. Manhattan, NY · New York$9.29+$0.33

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

Every other payment area

G0405 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$11.19$11.19
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

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 Miami, FL 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

42

Locality
Miami, FL
Physician work
1.000
Practice expense
1.041
Malpractice
2.529
Office calculation for G0405 in Miami, FL
ComponentRVULocality factorAdjusted
Physician work0.17× 1.0000.1700
Practice expense0.07× 1.0410.0729
Malpractice0.01× 2.5290.0253
Total RVUs0.2682
Conversion factor× 33.4009

Office rate, Miami, FL$8.96

Office: (0.17 × 1 + 0.07 × 1.041 + 0.01 × 2.529) × $33.4009 = $8.96

Facility: (0.17 × 1 + 0.07 × 1.041 + 0.01 × 2.529) × $33.4009 = $8.96

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 Miami, FL

G0405 · Office / nonfacility

$8.96

Effective 2026-10-01

The base rate is $0.66 higher than on 2025-10-01, moving from $8.30 to $8.96 (8.0%).

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

    $8.30changed to$8.96

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.06 changed to 0.07
    • Practice expense GPCI 1.027 changed to 1.041
    • Malpractice GPCI 2.500 changed to 2.529

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $8.54changed to$8.30

    • Conversion factor 33.2875 changed to 32.3465

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $8.40changed to$8.54

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $8.71changed to$8.40

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 1.025 changed to 1.027
    • Malpractice GPCI 2.564 changed to 2.500
  5. January 1, 2023

    RVU23A

    $8.92changed to$8.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense GPCI 1.023 changed to 1.025
    • Malpractice GPCI 2.629 changed to 2.564

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $8.99changed to$8.92

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $9.29changed to$8.99

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense GPCI 1.026 changed to 1.023
    • Malpractice GPCI 2.598 changed to 2.629

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $9.28changed to$9.29

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense GPCI 1.029 changed to 1.026
    • Malpractice GPCI 2.566 changed to 2.598

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $9.27changed to$9.28

    • Conversion factor 35.9996 changed to 36.0391

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $9.23changed to$9.27

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 1.031 changed to 1.029
    • Malpractice GPCI 2.528 changed to 2.566

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $9.20changed to$9.23

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense GPCI 1.033 changed to 1.031
    • Malpractice GPCI 2.490 changed to 2.528

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $9.23changed to$9.20

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $9.18changed to$9.23

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $9.28changed to$9.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense GPCI 1.044 changed to 1.033
    • Malpractice GPCI 2.653 changed to 2.490

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $8.89changed to$9.28

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense GPCI 1.054 changed to 1.044
    • Malpractice GPCI 2.815 changed to 2.653

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $8.89

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$8.96$8.96RVU26D
2026-07-01$8.96$8.96RVU26C
2026-04-01$8.96$8.96RVU26B
2026-01-01$8.96$8.96RVU26A
2025-10-01$8.30$8.30RVU25D
2025-07-01$8.30$8.30RVU25C
2025-04-01$8.30$8.30RVU25B
2025-01-01$8.30$8.30RVU25A
2024-10-01$8.54$8.54RVU24D
2024-07-01$8.54$8.54RVU24C
2024-04-01$8.54$8.54RVU24B
2024-03-09$8.54$8.54RVU24AR
2024-01-01$8.40$8.40RVU24A
2023-10-01$8.71$8.71RVU23D
2023-07-01$8.71$8.71RVU23C
2023-04-01$8.71$8.71RVU23B
2023-01-01$8.71$8.71RVU23A
2022-10-01$8.92$8.92RVU22D
2022-07-01$8.92$8.92RVU22C
2022-04-01$8.92$8.92RVU22B
2022-01-01$8.92$8.92RVU22A
2021-10-01$8.99$8.99RVU21D
2021-07-01$8.99$8.99RVU21C
2021-04-01$8.99$8.99RVU21B
2021-01-01$8.99$8.99RVU21A
2020-10-01$9.29$9.29RVU20D
2020-07-01$9.29$9.29RVU20C
2020-04-01$9.29$9.29RVU20B
2020-01-01$9.29$9.29RVU20A
2019-10-01$9.28$9.28RVU19D
2019-07-01$9.28$9.28RVU19C
2019-04-01$9.28$9.28RVU19B
2019-01-01$9.28$9.28RVU19A
2018-10-01$9.27$9.27RVU18D
2018-07-01$9.27$9.27RVU18C
2018-04-01$9.27$9.27RVU18B
2018-01-01$9.27$9.27RVU18AR1
2017-10-01$9.23$9.23RVU17D
2017-07-01$9.23$9.23RVU17C
2017-04-01$9.23$9.23RVU17B
2017-01-01$9.23$9.23RVU17A
2016-10-01$9.20$9.20RVU16D
2016-07-01$9.20$9.20RVU16C
2016-04-01$9.20$9.20RVU16B
2016-01-01$9.20$9.20RVU16A
2015-10-01$9.23$9.23RVU15D
2015-07-01$9.23$9.23RVU15C
2015-04-01$9.18$9.18RVU15B
2015-01-01$9.18$9.18RVU15A
2014-10-01$9.28$9.28RVU14D
2014-07-01$9.28$9.28RVU14C
2014-04-01$9.28$9.28RVU14B
2014-01-01$9.28$9.28RVU14A
2013-10-01$8.89$8.89RVU13D
2013-07-01$8.89$8.89RVU13C
2013-04-01$8.89$8.89RVU13B
2013-01-01$8.89$8.89RVU13AR

Price G0405 for an earlier date of service

Where the Miami, FL rate applies

Miami, FL is a Medicare payment area, not a city. Our Census mapping connects it to 83 cities and communities in Florida. Some span more than one payment area; confirm with the service ZIP.

  • Miami
  • Aventura
  • Bal Harbour
  • Bay Harbor Islands
  • Big Coppitt Key
  • Big Pine Key
  • Biscayne Gardens
  • Biscayne Park

Browse all communities in Florida

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 Miami, FLGPCI2026.csv, line 42 (RVU26D)

Open CMS sourceHow we calculate rates

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