HCPCS code G0405: ECG interpretation, IPPE screening only2026 Medicare rate & RVUs in Virginia
Reports the professional interpretation of a screening ECG performed during the initial preventive physical examination, separate from the tracing service.
In Virginia, Medicare pays $8.21 for G0405 in the office and $8.21 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Virginia 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. Virginia pays $8.21. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Virginia · this page$8.21
- Los Angeles, CA · California$8.90+$0.69
- Washington, DC area · District of Columbia$9.11+$0.90
- Miami, FL · Florida$8.96+$0.75
- Chicago, IL · Illinois$8.83+$0.62
- Manhattan, NY · New York$9.29+$1.08
- Alaska · Alaska$11.19+$2.98
Other areas in Virginia first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | $8.52 | $8.52 |
| Merced, CACalifornia | $8.52 | $8.52 |
| Modesto, CACalifornia | $8.52 | $8.52 |
| Napa, CACalifornia | $9.29 | $9.29 |
| Oxnard, CACalifornia | $8.81 | $8.81 |
| Redding, CACalifornia | $8.52 | $8.52 |
| Rest of CaliforniaCalifornia | $8.52 | $8.52 |
| Riverside, CACalifornia | $8.63 | $8.63 |
| Sacramento, CACalifornia | $8.78 | $8.78 |
| Salinas, CACalifornia | $8.74 | $8.74 |
| San Diego, CACalifornia | $8.83 | $8.83 |
| Marin County, CACalifornia | $9.67 | $9.67 |
| San Francisco, CACalifornia | $9.66 | $9.66 |
| San Benito County, CACalifornia | $9.85 | $9.85 |
| Santa Clara County, CACalifornia | $9.81 | $9.81 |
| San Luis Obispo, CACalifornia | $8.62 | $8.62 |
| Santa Cruz, CACalifornia | $8.82 | $8.82 |
| Santa Maria, CACalifornia | $8.74 | $8.74 |
| Santa Rosa, CACalifornia | $8.90 | $8.90 |
| Stockton, CACalifornia | $8.52 | $8.52 |
| Vallejo, CACalifornia | $9.27 | $9.27 |
| Visalia, CACalifornia | $8.52 | $8.52 |
| Yuba City, CACalifornia | $8.52 | $8.52 |
| ColoradoColorado | $8.49 | $8.49 |
| ConnecticutConnecticut | $8.71 | $8.71 |
| DelawareDelaware | $8.32 | $8.32 |
| Fort Lauderdale, FLFlorida | $8.65 | $8.65 |
| Rest of FloridaFlorida | $8.42 | $8.42 |
| Atlanta, GAGeorgia | $8.47 | $8.47 |
| Rest of GeorgiaGeorgia | $8.16 | $8.16 |
| Hawaii, Guam, HIHawaii | $8.53 | $8.53 |
| IowaIowa | $7.95 | $7.95 |
| IdahoIdaho | $7.99 | $7.99 |
| East St. Louis, ILIllinois | $8.50 | $8.50 |
| Rest of IllinoisIllinois | $8.33 | $8.33 |
| Suburban Chicago, ILIllinois | $8.71 | $8.71 |
| IndianaIndiana | $8.01 | $8.01 |
| KansasKansas | $7.96 | $7.96 |
| KentuckyKentucky | $8.06 | $8.06 |
| New Orleans, LALouisiana | $8.26 | $8.26 |
| Rest of LouisianaLouisiana | $8.07 | $8.07 |
| Metropolitan Boston, MAMassachusetts | $9.00 | $9.00 |
| Rest of MassachusettsMassachusetts | $8.50 | $8.50 |
| Baltimore area, MDMaryland | $8.69 | $8.69 |
| Rest of MarylandMaryland | $8.41 | $8.41 |
| Rest of MaineMaine | $8.04 | $8.04 |
| Southern Maine, MEMaine | $8.21 | $8.21 |
| Detroit, MIMichigan | $8.50 | $8.50 |
| Rest of MichiganMichigan | $8.19 | $8.19 |
| MinnesotaMinnesota | $8.18 | $8.18 |
| Metropolitan Kansas City, MOMissouri | $8.20 | $8.20 |
| Metropolitan St. Louis, MOMissouri | $8.24 | $8.24 |
| Rest of MissouriMissouri | $8.02 | $8.02 |
| MississippiMississippi | $7.94 | $7.94 |
| MontanaMontana | $8.35 | $8.35 |
| North CarolinaNorth Carolina | $8.07 | $8.07 |
| North DakotaNorth Dakota | $8.15 | $8.15 |
| NebraskaNebraska | $7.96 | $7.96 |
| New HampshireNew Hampshire | $8.40 | $8.40 |
| Northern New JerseyNew Jersey | $9.10 | $9.10 |
| Rest of New JerseyNew Jersey | $8.82 | $8.82 |
| New MexicoNew Mexico | $8.22 | $8.22 |
| NevadaNevada | $8.30 | $8.30 |
| NYC suburbs and Long Island, NYNew York | $9.44 | $9.44 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $8.90 | $8.90 |
| Queens, NYNew York | $9.29 | $9.29 |
| Rest of New YorkNew York | $8.13 | $8.13 |
| OhioOhio | $8.15 | $8.15 |
| OklahomaOklahoma | $8.03 | $8.03 |
| Portland, OROregon | $8.62 | $8.62 |
| Rest of OregonOregon | $8.24 | $8.24 |
| Metropolitan Philadelphia, PAPennsylvania | $8.61 | $8.61 |
| Rest of PennsylvaniaPennsylvania | $8.14 | $8.14 |
| Puerto RicoPuerto Rico | $8.37 | $8.37 |
| Rhode IslandRhode Island | $8.50 | $8.50 |
| South CarolinaSouth Carolina | $8.12 | $8.12 |
| South DakotaSouth Dakota | $8.13 | $8.13 |
| TennesseeTennessee | $7.98 | $7.98 |
| Austin, TXTexas | $8.46 | $8.46 |
| Beaumont, TXTexas | $8.12 | $8.12 |
| Brazoria, TXTexas | $8.30 | $8.30 |
| Dallas, TXTexas | $8.34 | $8.34 |
| Fort Worth, TXTexas | $8.33 | $8.33 |
| Galveston, TXTexas | $8.32 | $8.32 |
| Houston, TXTexas | $8.50 | $8.50 |
| Rest of TexasTexas | $8.20 | $8.20 |
| UtahUtah | $8.18 | $8.18 |
| Virgin Islands, VIUnited States Virgin Islands | $8.37 | $8.37 |
| VermontVermont | $8.16 | $8.16 |
| Rest of WashingtonWashington | $8.47 | $8.47 |
| King County, WAWashington | $9.10 | $9.10 |
| WisconsinWisconsin | $8.02 | $8.02 |
| West VirginiaWest Virginia | $8.19 | $8.19 |
| WyomingWyoming | $8.26 | $8.26 |
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
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $11.19 | 1 |
| AL | $7.91 | 1 |
| AR | $7.86 | 1 |
| AZ | $8.23 | 1 |
| CA | $8.52–$9.85 | 29 |
| CO | $8.49 | 1 |
| CT | $8.71 | 1 |
| DC | $9.11 | 1 |
| DE | $8.32 | 1 |
| FL | $8.42–$8.96 | 3 |
| GA | $8.16–$8.47 | 2 |
| GU | $8.53 | 1 |
| HI | $8.53 | 1 |
| IA | $7.95 | 1 |
| ID | $7.99 | 1 |
| IL | $8.33–$8.83 | 4 |
| IN | $8.01 | 1 |
| KS | $7.96 | 1 |
| KY | $8.06 | 1 |
| LA | $8.07–$8.26 | 2 |
| MA | $8.50–$9.00 | 2 |
| MD | $8.41–$9.11 | 3 |
| ME | $8.04–$8.21 | 2 |
| MI | $8.19–$8.50 | 2 |
| MN | $8.18 | 1 |
| MO | $8.02–$8.24 | 3 |
| MS | $7.94 | 1 |
| MT | $8.35 | 1 |
| NC | $8.07 | 1 |
| ND | $8.15 | 1 |
| NE | $7.96 | 1 |
| NH | $8.40 | 1 |
| NJ | $8.82–$9.10 | 2 |
| NM | $8.22 | 1 |
| NV | $8.30 | 1 |
| NY | $8.13–$9.44 | 5 |
| OH | $8.15 | 1 |
| OK | $8.03 | 1 |
| OR | $8.24–$8.62 | 2 |
| PA | $8.14–$8.61 | 2 |
| PR | $8.37 | 1 |
| RI | $8.50 | 1 |
| SC | $8.12 | 1 |
| SD | $8.13 | 1 |
| TN | $7.98 | 1 |
| TX | $8.12–$8.50 | 8 |
| UT | $8.18 | 1 |
| VA | $8.21–$9.11 | 2 |
| VI | $8.37 | 1 |
| VT | $8.16 | 1 |
| WA | $8.47–$9.10 | 2 |
| WI | $8.02 | 1 |
| WV | $8.19 | 1 |
| WY | $8.26 | 1 |
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
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 Virginia 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
106
- Locality
- Virginia
- Physician work
- 1.000
- Practice expense
- 0.983
- Malpractice
- 0.706
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.07 | × 0.983 | 0.0688 |
| Malpractice | 0.01 | × 0.706 | 0.0071 |
| Total RVUs | 0.2459 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Virginia$8.21
Office: (0.17 × 1 + 0.07 × 0.983 + 0.01 × 0.706) × $33.4009 = $8.21
Facility: (0.17 × 1 + 0.07 × 0.983 + 0.01 × 0.706) × $33.4009 = $8.21
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
| 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 | 2 | Professional component only. |
How G0405 has changed in Virginia
G0405 · Office / nonfacility
$8.21
Effective 2026-10-01
The base rate is $0.55 higher than on 2025-10-01, moving from $7.66 to $8.21 (7.2%).
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
$7.66changed to$8.21
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.06 changed to 0.07
- Work GPCI 1.002 changed to 1.000
- Practice expense GPCI 0.984 changed to 0.983
- Malpractice GPCI 0.755 changed to 0.706
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$7.89changed to$7.66
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$7.76changed to$7.89
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$8.05changed to$7.76
- Conversion factor 33.8872 changed to 32.7442
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 0.990 changed to 0.984
- Malpractice GPCI 0.826 changed to 0.755
January 1, 2023
RVU23A
$8.26changed to$8.05
- Conversion factor 34.6062 changed to 33.8872
- Practice expense GPCI 0.995 changed to 0.990
- Malpractice GPCI 0.897 changed to 0.826
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$8.33changed to$8.26
- Conversion factor 34.8931 changed to 34.6062
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$8.61changed to$8.33
- Conversion factor 36.0896 changed to 34.8931
- Practice expense GPCI 0.991 changed to 0.995
- Malpractice GPCI 0.903 changed to 0.897
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$8.59changed to$8.61
- Conversion factor 36.0391 changed to 36.0896
- Practice expense GPCI 0.986 changed to 0.991
- Malpractice GPCI 0.908 changed to 0.903
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$8.58changed to$8.59
- Conversion factor 35.9996 changed to 36.0391
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$8.53changed to$8.58
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.985 changed to 0.986
- Malpractice GPCI 0.866 changed to 0.908
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$8.49changed to$8.53
- Conversion factor 35.8043 changed to 35.8887
- Practice expense GPCI 0.983 changed to 0.985
- Malpractice GPCI 0.824 changed to 0.866
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$8.52changed to$8.49
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$8.48changed to$8.52
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$8.47changed to$8.48
- Conversion factor 35.8228 changed to 35.7547
- Practice expense GPCI 0.980 changed to 0.983
- Malpractice GPCI 0.778 changed to 0.824
Held through RVU15B.
January 1, 2014
RVU14A
$8.03changed to$8.47
- Conversion factor 34.0230 changed to 35.8228
- Practice expense GPCI 0.977 changed to 0.980
- Malpractice GPCI 0.731 changed to 0.778
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $8.03
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $8.21 | $8.21 | RVU26D |
| 2026-07-01 | $8.21 | $8.21 | RVU26C |
| 2026-04-01 | $8.21 | $8.21 | RVU26B |
| 2026-01-01 | $8.21 | $8.21 | RVU26A |
| 2025-10-01 | $7.66 | $7.66 | RVU25D |
| 2025-07-01 | $7.66 | $7.66 | RVU25C |
| 2025-04-01 | $7.66 | $7.66 | RVU25B |
| 2025-01-01 | $7.66 | $7.66 | RVU25A |
| 2024-10-01 | $7.89 | $7.89 | RVU24D |
| 2024-07-01 | $7.89 | $7.89 | RVU24C |
| 2024-04-01 | $7.89 | $7.89 | RVU24B |
| 2024-03-09 | $7.89 | $7.89 | RVU24AR |
| 2024-01-01 | $7.76 | $7.76 | RVU24A |
| 2023-10-01 | $8.05 | $8.05 | RVU23D |
| 2023-07-01 | $8.05 | $8.05 | RVU23C |
| 2023-04-01 | $8.05 | $8.05 | RVU23B |
| 2023-01-01 | $8.05 | $8.05 | RVU23A |
| 2022-10-01 | $8.26 | $8.26 | RVU22D |
| 2022-07-01 | $8.26 | $8.26 | RVU22C |
| 2022-04-01 | $8.26 | $8.26 | RVU22B |
| 2022-01-01 | $8.26 | $8.26 | RVU22A |
| 2021-10-01 | $8.33 | $8.33 | RVU21D |
| 2021-07-01 | $8.33 | $8.33 | RVU21C |
| 2021-04-01 | $8.33 | $8.33 | RVU21B |
| 2021-01-01 | $8.33 | $8.33 | RVU21A |
| 2020-10-01 | $8.61 | $8.61 | RVU20D |
| 2020-07-01 | $8.61 | $8.61 | RVU20C |
| 2020-04-01 | $8.61 | $8.61 | RVU20B |
| 2020-01-01 | $8.61 | $8.61 | RVU20A |
| 2019-10-01 | $8.59 | $8.59 | RVU19D |
| 2019-07-01 | $8.59 | $8.59 | RVU19C |
| 2019-04-01 | $8.59 | $8.59 | RVU19B |
| 2019-01-01 | $8.59 | $8.59 | RVU19A |
| 2018-10-01 | $8.58 | $8.58 | RVU18D |
| 2018-07-01 | $8.58 | $8.58 | RVU18C |
| 2018-04-01 | $8.58 | $8.58 | RVU18B |
| 2018-01-01 | $8.58 | $8.58 | RVU18AR1 |
| 2017-10-01 | $8.53 | $8.53 | RVU17D |
| 2017-07-01 | $8.53 | $8.53 | RVU17C |
| 2017-04-01 | $8.53 | $8.53 | RVU17B |
| 2017-01-01 | $8.53 | $8.53 | RVU17A |
| 2016-10-01 | $8.49 | $8.49 | RVU16D |
| 2016-07-01 | $8.49 | $8.49 | RVU16C |
| 2016-04-01 | $8.49 | $8.49 | RVU16B |
| 2016-01-01 | $8.49 | $8.49 | RVU16A |
| 2015-10-01 | $8.52 | $8.52 | RVU15D |
| 2015-07-01 | $8.52 | $8.52 | RVU15C |
| 2015-04-01 | $8.48 | $8.48 | RVU15B |
| 2015-01-01 | $8.48 | $8.48 | RVU15A |
| 2014-10-01 | $8.47 | $8.47 | RVU14D |
| 2014-07-01 | $8.47 | $8.47 | RVU14C |
| 2014-04-01 | $8.47 | $8.47 | RVU14B |
| 2014-01-01 | $8.47 | $8.47 | RVU14A |
| 2013-10-01 | $8.03 | $8.03 | RVU13D |
| 2013-07-01 | $8.03 | $8.03 | RVU13C |
| 2013-04-01 | $8.03 | $8.03 | RVU13B |
| 2013-01-01 | $8.03 | $8.03 | RVU13AR |
Where the Virginia rate applies
Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.
- Abbs Valley
- Abingdon
- Accomac
- Adwolf
- Afton
- Alberta
- Aldie
- Allison Gap
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
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