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HCPCS code G0422: Cardiac rehabilitation, intensive program with exercise2026 Medicare rate & RVUs in El Centro, CA

Reports a session of intensive cardiac rehabilitation that includes supervised exercise and structured lifestyle intervention for an eligible patient.

CMS RVU26DEffective Oct 1, 2026One payment locality100.1K Medicare services in 2024

In El Centro, CA, Medicare pays $136.60 for G0422 in the office and $136.60 when it’s performed in a hospital or facility.

$136.60Office (non-facility)
$136.60Hospital or facility
+3.8%vs the national office rate ($131.60)

Check a contract rate as a % of Medicare · G0422 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 G0422 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in El Centro, CA
  2. What G0422 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 G0422 covers

G0422 identifies a session in an intensive cardiac rehabilitation program that includes supervised exercise alongside structured lifestyle intervention. The program serves eligible patients with cardiac disease and is delivered by a multidisciplinary rehabilitation team, commonly in an outpatient cardiac rehabilitation setting, with medical oversight. Exercise is integrated with education and behavior-change support addressing cardiovascular risk factors.

Report G0422 for each intensive cardiac rehabilitation session that includes exercise; use G0423 when the session is conducted without exercise. Documentation should identify the patient's qualifying cardiac indication, participation in the intensive program, services provided that day, exercise activity, and clinical oversight. The code is reported by session, not by exercise minutes. The CMS fee schedule assigns resources to this service; the clinical record should support the session reported.

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 El Centro, CA compares for G0422

Across 109 of 109 payment localities, the office rate for G0422 runs from $121.32 in Arkansas to $167.88 in Alaska. El Centro, CA pays $136.60. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0422 in El Centro, CA vs other payment areas
  1. El Centro, CA · this page$136.60
  2. Bakersfield, CA · California$137.01+$0.41
  3. Chico, CA · California$136.58−$0.02
  4. Fresno, CA · California$136.58−$0.02
  5. Hanford, CA · California$136.58−$0.02
  6. Los Angeles, CA · California$143.88+$7.28
  7. Madera, CA · California$136.58−$0.02

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

Every other payment area

G0422 in every other Medicare payment locality
Payment localityOfficeFacility
Merced, CACalifornia$136.58$136.58
Modesto, CACalifornia$136.58$136.58
Napa, CACalifornia$152.74$152.74
Oxnard, CACalifornia$142.77$142.77
Redding, CACalifornia$136.58$136.58
Rest of CaliforniaCalifornia$136.58$136.58
Riverside, CACalifornia$137.92$137.92
Sacramento, CACalifornia$141.84$141.84

G0422 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$121.32

$167.88

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

View every state and territory as a table
G0422 office rate range by state
State / territoryOffice rate rangeLocalities
AK$167.881
AL$122.471
AR$121.321
AZ$129.191
CA$136.58–$163.4029
CO$135.331
CT$138.361
DC$146.271
DE$130.831
FL$131.01–$140.153
GA$125.98–$133.562
GU$138.011
HI$138.011
IA$124.161
ID$124.761
IL$128.71–$137.564
IN$125.221
KS$123.941
KY$124.701
LA$124.63–$128.662
MA$135.01–$145.442
MD$132.67–$146.273
ME$125.35–$129.592
MI$126.97–$132.282
MN$130.491
MO$123.34–$128.773
MS$122.341
MT$131.591
NC$126.191
ND$129.221
NE$124.551
NH$133.521
NJ$140.17–$145.642
NM$127.501
NV$130.991
NY$127.45–$150.595
OH$126.491
OK$124.381
OR$130.17–$138.232
PA$126.53–$136.032
PR$132.191
RI$134.421
SC$126.511
SD$128.941
TN$124.361
TX$125.99–$134.718
UT$127.641
VA$129.42–$146.272
VI$132.191
VT$129.031
WA$134.67–$147.712
WI$126.341
WV$125.581
WY$130.561

See G0422 in every payment locality

How the G0422 rate is calculated

Each of G0422’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 · G0422

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.05

2.05 RVUs× 1.000 GPCI

Practice expense1.77

1.77 RVUs× 1.000 GPCI

Malpractice0.12

0.12 RVUs× 1.000 GPCI

Adjusted RVUs

3.9400

Conversion factor

$33.4009

Medicare rate

$131.60

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

The exact El Centro, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,250

Code
G0422
Physician work
2.05
Practice expense
1.77
Malpractice
0.12

GPCI2026.csv

10

Locality
El Centro, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office calculation for G0422 in El Centro, CA
ComponentRVULocality factorAdjusted
Physician work2.05× 1.0172.0848
Practice expense1.77× 1.0961.9399
Malpractice0.12× 0.5410.0649
Total RVUs4.0897
Conversion factor× 33.4009

Office rate, El Centro, CA$136.60

Office: (2.05 × 1.017 + 1.77 × 1.096 + 0.12 × 0.541) × $33.4009 = $136.60

Facility: (2.05 × 1.017 + 1.77 × 1.096 + 0.12 × 0.541) × $33.4009 = $136.60

Open G0422 in the RVU calculator

Payment rules and modifiers for G0422

G0422 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · G0422

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

$131.60

Non-facility (office)
$131.60
Facility
$131.60

Higher because the practice carries its own overhead.

Codes related to G0422

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to G0422
CodeHow it relatesOffice range, El Centro, CA
Same family
G0423Cardiac rehabilitation, without exerciseIntensive cardiac rehabilitation session in the same family, reported when exercise is not included.$136.60
Used instead
93798Cardiac rehabilitation, continuous ECG monitoringConventional cardiac rehabilitation with exercise rather than an intensive cardiac rehabilitation session.$27.44
93797Cardiac rehab, without ECG monitoringConventional cardiac rehabilitation without exercise rather than an intensive cardiac rehabilitation session.$18.74

How G0422 has changed in El Centro, CA

G0422 · Office / nonfacility

$136.60

Effective 2026-10-01

The base rate is $5.83 higher than on 2025-10-01, moving from $130.77 to $136.60 (4.5%).

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

    $130.77changed to$136.60

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.99 changed to 2.05
    • Practice expense RVU 1.79 changed to 1.77
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $132.94changed to$130.77

    • Conversion factor 33.2875 changed to 32.3465
    • Work RVU 1.92 changed to 1.99
    • Practice expense RVU 1.81 changed to 1.79

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $130.77changed to$132.94

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $125.10changed to$130.77

    • Conversion factor 33.8872 changed to 32.7442
    • Work RVU 1.81 changed to 1.92
    • Practice expense RVU 1.67 changed to 1.81
    • Malpractice RVU 0.07 changed to 0.12
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.595 changed to 0.570

  5. January 1, 2023

    RVU23A

    $120.93changed to$125.10

    • Conversion factor 34.6062 changed to 33.8872
    • Work RVU 1.71 changed to 1.81
    • Practice expense RVU 1.51 changed to 1.67
    • Malpractice RVU 0.21 changed to 0.07
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.620 changed to 0.595

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $118.36changed to$120.93

    • Conversion factor 34.8931 changed to 34.6062
    • Work RVU 1.70 changed to 1.71
    • Practice expense RVU 1.43 changed to 1.51
    • Malpractice RVU 0.20 changed to 0.21
    • Malpractice GPCI 0.616 changed to 0.620

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $113.53changed to$118.36

    • Conversion factor 36.0896 changed to 34.8931
    • Work RVU 1.65 changed to 1.70
    • Practice expense RVU 1.31 changed to 1.43
    • Malpractice RVU 0.09 changed to 0.20
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.606 changed to 0.616

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $121.69changed to$113.53

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 1.77 changed to 1.65
    • Practice expense RVU 1.41 changed to 1.31
    • Malpractice RVU 0.10 changed to 0.09
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.570 changed to 0.606

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $120.04changed to$121.69

    • Conversion factor 35.9996 changed to 36.0391
    • Work RVU 1.75 changed to 1.77
    • Practice expense RVU 1.39 changed to 1.41
    • Malpractice GPCI 0.567 changed to 0.570

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $114.09changed to$120.04

    • Conversion factor 35.8887 changed to 35.9996
    • Work RVU 1.66 changed to 1.75
    • Practice expense RVU 1.32 changed to 1.39
    • Malpractice RVU 0.09 changed to 0.10
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.567

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$114.09

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$136.60$136.60RVU26D
2026-07-01$136.60$136.60RVU26C
2026-04-01$136.60$136.60RVU26B
2026-01-01$136.60$136.60RVU26A
2025-10-01$130.77$130.77RVU25D
2025-07-01$130.77$130.77RVU25C
2025-04-01$130.77$130.77RVU25B
2025-01-01$130.77$130.77RVU25A
2024-10-01$132.94$132.94RVU24D
2024-07-01$132.94$132.94RVU24C
2024-04-01$132.94$132.94RVU24B
2024-03-09$132.94$132.94RVU24AR
2024-01-01$130.77$130.77RVU24A
2023-10-01$125.10$125.10RVU23D
2023-07-01$125.10$125.10RVU23C
2023-04-01$125.10$125.10RVU23B
2023-01-01$125.10$125.10RVU23A
2022-10-01$120.93$120.93RVU22D
2022-07-01$120.93$120.93RVU22C
2022-04-01$120.93$120.93RVU22B
2022-01-01$120.93$120.93RVU22A
2021-10-01$118.36$118.36RVU21D
2021-07-01$118.36$118.36RVU21C
2021-04-01$118.36$118.36RVU21B
2021-01-01$118.36$118.36RVU21A
2020-10-01$113.53$113.53RVU20D
2020-07-01$113.53$113.53RVU20C
2020-04-01$113.53$113.53RVU20B
2020-01-01$113.53$113.53RVU20A
2019-10-01$121.69$121.69RVU19D
2019-07-01$121.69$121.69RVU19C
2019-04-01$121.69$121.69RVU19B
2019-01-01$121.69$121.69RVU19A
2018-10-01$120.04$120.04RVU18D
2018-07-01$120.04$120.04RVU18C
2018-04-01$120.04$120.04RVU18B
2018-01-01$120.04$120.04RVU18AR1
2017-10-01$114.09$114.09RVU17D
2017-07-01$114.09$114.09RVU17C
2017-04-01$114.09$114.09RVU17B
2017-01-01$114.09$114.09RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price G0422 for an earlier date of service

Where the El Centro, CA rate applies

El Centro, CA is a Medicare payment area, not a city. Our Census mapping connects it to 18 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • El Centro
  • Bombay Beach
  • Brawley
  • Calexico
  • Calipatria
  • Desert Shores
  • El Centro Naval Air Facility
  • Heber

Browse all communities in California

G0422 billing questions

When should G0422 be used instead of G0423?

Use G0422 for an intensive cardiac rehabilitation session that includes exercise. Use G0423 for an intensive session conducted without exercise.

How does G0422 differ from 93798?

G0422 represents intensive cardiac rehabilitation, while 93798 represents conventional cardiac rehabilitation with exercise. The program type, not exercise alone, distinguishes the codes.

Is G0422 counted by minutes or sessions?

It is reported per session, rather than by the number of exercise minutes.

What documentation supports G0422?

Record the patient's qualifying cardiac indication and intensive-program participation, along with the services and supervised exercise provided during that session.

Can G0422 be used for any supervised cardiac exercise?

No. It identifies an exercise-inclusive session in an intensive cardiac rehabilitation program, not exercise alone or conventional cardiac rehabilitation.

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 G0422PPRRVU2026_Oct_nonQPP.csv, line 15,250 (RVU26D)
Geographic factors for El Centro, CAGPCI2026.csv, line 10 (RVU26D)

Open CMS sourceHow we calculate rates

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