HCPCS code G0422: Cardiac rehabilitation, intensive program with exercise2026 Medicare rate & RVUs in Riverside, CA
Reports a session of intensive cardiac rehabilitation that includes supervised exercise and structured lifestyle intervention for an eligible patient.
In Riverside, CA, Medicare pays $137.92 for G0422 in the office and $137.92 when it’s performed in a hospital or facility.
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.
On this page 11 sections
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 Riverside, 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. Riverside, CA pays $137.92. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Riverside, CA · this page$137.92
- Bakersfield, CA · California$137.01−$0.91
- Chico, CA · California$136.58−$1.34
- El Centro, CA · California$136.60−$1.32
- Fresno, CA · California$136.58−$1.34
- Hanford, CA · California$136.58−$1.34
- Los Angeles, CA · California$143.88+$5.96
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Madera, CACalifornia | $136.58 | $136.58 |
| 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 |
| Sacramento, CACalifornia | $141.84 | $141.84 |
| Salinas, CACalifornia | $141.26 | $141.26 |
| San Diego, CACalifornia | $143.41 | $143.41 |
| Marin County, CACalifornia | $160.18 | $160.18 |
| San Francisco, CACalifornia | $160.04 | $160.04 |
| San Benito County, CACalifornia | $163.40 | $163.40 |
| Santa Clara County, CACalifornia | $162.85 | $162.85 |
| San Luis Obispo, CACalifornia | $139.12 | $139.12 |
| Santa Cruz, CACalifornia | $143.89 | $143.89 |
| Santa Maria, CACalifornia | $141.47 | $141.47 |
| Santa Rosa, CACalifornia | $145.27 | $145.27 |
| Stockton, CACalifornia | $136.58 | $136.58 |
| Vallejo, CACalifornia | $152.54 | $152.54 |
| Visalia, CACalifornia | $136.58 | $136.58 |
| Yuba City, CACalifornia | $136.58 | $136.58 |
| Washington, DC areaDistrict of Columbia | $146.27 | $146.27 |
| Miami, FLFlorida | $140.15 | $140.15 |
| Chicago, ILIllinois | $137.56 | $137.56 |
| Manhattan, NYNew York | $147.91 | $147.91 |
| AlaskaAlaska | $167.88 | $167.88 |
| AlabamaAlabama | $122.47 | $122.47 |
| ArkansasArkansas | $121.32 | $121.32 |
| ArizonaArizona | $129.19 | $129.19 |
| ColoradoColorado | $135.33 | $135.33 |
| ConnecticutConnecticut | $138.36 | $138.36 |
| DelawareDelaware | $130.83 | $130.83 |
| Fort Lauderdale, FLFlorida | $135.61 | $135.61 |
| Rest of FloridaFlorida | $131.01 | $131.01 |
| Atlanta, GAGeorgia | $133.56 | $133.56 |
| Rest of GeorgiaGeorgia | $125.98 | $125.98 |
| Hawaii, Guam, HIHawaii | $138.01 | $138.01 |
| IowaIowa | $124.16 | $124.16 |
| IdahoIdaho | $124.76 | $124.76 |
| East St. Louis, ILIllinois | $130.93 | $130.93 |
| Rest of IllinoisIllinois | $128.71 | $128.71 |
| Suburban Chicago, ILIllinois | $136.77 | $136.77 |
| IndianaIndiana | $125.22 | $125.22 |
| KansasKansas | $123.94 | $123.94 |
| KentuckyKentucky | $124.70 | $124.70 |
| New Orleans, LALouisiana | $128.66 | $128.66 |
| Rest of LouisianaLouisiana | $124.63 | $124.63 |
| Metropolitan Boston, MAMassachusetts | $145.44 | $145.44 |
| Rest of MassachusettsMassachusetts | $135.01 | $135.01 |
| Baltimore area, MDMaryland | $137.96 | $137.96 |
| Rest of MarylandMaryland | $132.67 | $132.67 |
| Rest of MaineMaine | $125.35 | $125.35 |
| Southern Maine, MEMaine | $129.59 | $129.59 |
| Detroit, MIMichigan | $132.28 | $132.28 |
| Rest of MichiganMichigan | $126.97 | $126.97 |
| MinnesotaMinnesota | $130.49 | $130.49 |
| Metropolitan Kansas City, MOMissouri | $127.90 | $127.90 |
| Metropolitan St. Louis, MOMissouri | $128.77 | $128.77 |
| Rest of MissouriMissouri | $123.34 | $123.34 |
| MississippiMississippi | $122.34 | $122.34 |
| MontanaMontana | $131.59 | $131.59 |
| North CarolinaNorth Carolina | $126.19 | $126.19 |
| North DakotaNorth Dakota | $129.22 | $129.22 |
| NebraskaNebraska | $124.55 | $124.55 |
| New HampshireNew Hampshire | $133.52 | $133.52 |
| Northern New JerseyNew Jersey | $145.64 | $145.64 |
| Rest of New JerseyNew Jersey | $140.17 | $140.17 |
| New MexicoNew Mexico | $127.50 | $127.50 |
| NevadaNevada | $130.99 | $130.99 |
| NYC suburbs and Long Island, NYNew York | $150.59 | $150.59 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $141.14 | $141.14 |
| Queens, NYNew York | $148.51 | $148.51 |
| Rest of New YorkNew York | $127.45 | $127.45 |
| OhioOhio | $126.49 | $126.49 |
| OklahomaOklahoma | $124.38 | $124.38 |
| Portland, OROregon | $138.23 | $138.23 |
| Rest of OregonOregon | $130.17 | $130.17 |
| Metropolitan Philadelphia, PAPennsylvania | $136.03 | $136.03 |
| Rest of PennsylvaniaPennsylvania | $126.53 | $126.53 |
| Puerto RicoPuerto Rico | $132.19 | $132.19 |
| Rhode IslandRhode Island | $134.42 | $134.42 |
| South CarolinaSouth Carolina | $126.51 | $126.51 |
| South DakotaSouth Dakota | $128.94 | $128.94 |
| TennesseeTennessee | $124.36 | $124.36 |
| Austin, TXTexas | $134.71 | $134.71 |
| Beaumont, TXTexas | $125.99 | $125.99 |
| Brazoria, TXTexas | $130.73 | $130.73 |
| Dallas, TXTexas | $131.41 | $131.41 |
| Fort Worth, TXTexas | $130.87 | $130.87 |
| Galveston, TXTexas | $131.04 | $131.04 |
| Houston, TXTexas | $133.24 | $133.24 |
| Rest of TexasTexas | $128.20 | $128.20 |
| UtahUtah | $127.64 | $127.64 |
| VirginiaVirginia | $129.42 | $129.42 |
| Virgin Islands, VIUnited States Virgin Islands | $132.19 | $132.19 |
| VermontVermont | $129.03 | $129.03 |
| Rest of WashingtonWashington | $134.67 | $134.67 |
| King County, WAWashington | $147.71 | $147.71 |
| WisconsinWisconsin | $126.34 | $126.34 |
| West VirginiaWest Virginia | $125.58 | $125.58 |
| WyomingWyoming | $130.56 | $130.56 |
G0422 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.
$121.32
$167.88
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 | $167.88 | 1 |
| AL | $122.47 | 1 |
| AR | $121.32 | 1 |
| AZ | $129.19 | 1 |
| CA | $136.58–$163.40 | 29 |
| CO | $135.33 | 1 |
| CT | $138.36 | 1 |
| DC | $146.27 | 1 |
| DE | $130.83 | 1 |
| FL | $131.01–$140.15 | 3 |
| GA | $125.98–$133.56 | 2 |
| GU | $138.01 | 1 |
| HI | $138.01 | 1 |
| IA | $124.16 | 1 |
| ID | $124.76 | 1 |
| IL | $128.71–$137.56 | 4 |
| IN | $125.22 | 1 |
| KS | $123.94 | 1 |
| KY | $124.70 | 1 |
| LA | $124.63–$128.66 | 2 |
| MA | $135.01–$145.44 | 2 |
| MD | $132.67–$146.27 | 3 |
| ME | $125.35–$129.59 | 2 |
| MI | $126.97–$132.28 | 2 |
| MN | $130.49 | 1 |
| MO | $123.34–$128.77 | 3 |
| MS | $122.34 | 1 |
| MT | $131.59 | 1 |
| NC | $126.19 | 1 |
| ND | $129.22 | 1 |
| NE | $124.55 | 1 |
| NH | $133.52 | 1 |
| NJ | $140.17–$145.64 | 2 |
| NM | $127.50 | 1 |
| NV | $130.99 | 1 |
| NY | $127.45–$150.59 | 5 |
| OH | $126.49 | 1 |
| OK | $124.38 | 1 |
| OR | $130.17–$138.23 | 2 |
| PA | $126.53–$136.03 | 2 |
| PR | $132.19 | 1 |
| RI | $134.42 | 1 |
| SC | $126.51 | 1 |
| SD | $128.94 | 1 |
| TN | $124.36 | 1 |
| TX | $125.99–$134.71 | 8 |
| UT | $127.64 | 1 |
| VA | $129.42–$146.27 | 2 |
| VI | $132.19 | 1 |
| VT | $129.03 | 1 |
| WA | $134.67–$147.71 | 2 |
| WI | $126.34 | 1 |
| WV | $125.58 | 1 |
| WY | $130.56 | 1 |
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
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 Riverside, 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
20
- Locality
- Riverside, CA
- Physician work
- 1.018
- Practice expense
- 1.096
- Malpractice
- 0.853
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.05 | × 1.018 | 2.0869 |
| Practice expense | 1.77 | × 1.096 | 1.9399 |
| Malpractice | 0.12 | × 0.853 | 0.1024 |
| Total RVUs | 4.1292 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Riverside, CA$137.92
Office: (2.05 × 1.018 + 1.77 × 1.096 + 0.12 × 0.853) × $33.4009 = $137.92
Facility: (2.05 × 1.018 + 1.77 × 1.096 + 0.12 × 0.853) × $33.4009 = $137.92
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.
How G0422 has changed in Riverside, CA
G0422 · Office / nonfacility
$137.92
Effective 2026-10-01
The base rate is $5.90 higher than on 2025-10-01, moving from $132.02 to $137.92 (4.5%).
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
$132.02changed to$137.92
- 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 1.018
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.892 changed to 0.853
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$134.22changed to$132.02
- 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.
March 9, 2024
RVU24AR
$132.03changed to$134.22
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$125.88changed to$132.03
- 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 0.924 changed to 0.892
January 1, 2023
RVU23A
$123.37changed to$125.88
- 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 0.955 changed to 0.924
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$120.31changed to$123.37
- 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 0.896 changed to 0.955
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$114.26changed to$120.31
- 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 0.830 changed to 0.896
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$122.42changed to$114.26
- 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 1.021 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.753 changed to 0.830
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$120.48changed to$122.42
- 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
- Work GPCI 1.020 changed to 1.021
- Malpractice GPCI 0.689 changed to 0.753
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$114.14changed to$120.48
- 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 0.626 changed to 0.689
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$114.14
Held through RVU17B, RVU17C, RVU17D.
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.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $137.92 | $137.92 | RVU26D |
| 2026-07-01 | $137.92 | $137.92 | RVU26C |
| 2026-04-01 | $137.92 | $137.92 | RVU26B |
| 2026-01-01 | $137.92 | $137.92 | RVU26A |
| 2025-10-01 | $132.02 | $132.02 | RVU25D |
| 2025-07-01 | $132.02 | $132.02 | RVU25C |
| 2025-04-01 | $132.02 | $132.02 | RVU25B |
| 2025-01-01 | $132.02 | $132.02 | RVU25A |
| 2024-10-01 | $134.22 | $134.22 | RVU24D |
| 2024-07-01 | $134.22 | $134.22 | RVU24C |
| 2024-04-01 | $134.22 | $134.22 | RVU24B |
| 2024-03-09 | $134.22 | $134.22 | RVU24AR |
| 2024-01-01 | $132.03 | $132.03 | RVU24A |
| 2023-10-01 | $125.88 | $125.88 | RVU23D |
| 2023-07-01 | $125.88 | $125.88 | RVU23C |
| 2023-04-01 | $125.88 | $125.88 | RVU23B |
| 2023-01-01 | $125.88 | $125.88 | RVU23A |
| 2022-10-01 | $123.37 | $123.37 | RVU22D |
| 2022-07-01 | $123.37 | $123.37 | RVU22C |
| 2022-04-01 | $123.37 | $123.37 | RVU22B |
| 2022-01-01 | $123.37 | $123.37 | RVU22A |
| 2021-10-01 | $120.31 | $120.31 | RVU21D |
| 2021-07-01 | $120.31 | $120.31 | RVU21C |
| 2021-04-01 | $120.31 | $120.31 | RVU21B |
| 2021-01-01 | $120.31 | $120.31 | RVU21A |
| 2020-10-01 | $114.26 | $114.26 | RVU20D |
| 2020-07-01 | $114.26 | $114.26 | RVU20C |
| 2020-04-01 | $114.26 | $114.26 | RVU20B |
| 2020-01-01 | $114.26 | $114.26 | RVU20A |
| 2019-10-01 | $122.42 | $122.42 | RVU19D |
| 2019-07-01 | $122.42 | $122.42 | RVU19C |
| 2019-04-01 | $122.42 | $122.42 | RVU19B |
| 2019-01-01 | $122.42 | $122.42 | RVU19A |
| 2018-10-01 | $120.48 | $120.48 | RVU18D |
| 2018-07-01 | $120.48 | $120.48 | RVU18C |
| 2018-04-01 | $120.48 | $120.48 | RVU18B |
| 2018-01-01 | $120.48 | $120.48 | RVU18AR1 |
| 2017-10-01 | $114.14 | $114.14 | RVU17D |
| 2017-07-01 | $114.14 | $114.14 | RVU17C |
| 2017-04-01 | $114.14 | $114.14 | RVU17B |
| 2017-01-01 | $114.14 | $114.14 | RVU17A |
| 2016-10-01 | Rate data unavailable | Rate data unavailable | RVU16D |
| 2016-07-01 | Rate data unavailable | Rate data unavailable | RVU16C |
| 2016-04-01 | Rate data unavailable | Rate data unavailable | RVU16B |
| 2016-01-01 | Rate data unavailable | Rate data unavailable | RVU16A |
| 2015-10-01 | Rate data unavailable | Rate data unavailable | RVU15D |
| 2015-07-01 | Rate data unavailable | Rate data unavailable | RVU15C |
| 2015-04-01 | Rate data unavailable | Rate data unavailable | RVU15B |
| 2015-01-01 | Rate data unavailable | Rate data unavailable | RVU15A |
| 2014-10-01 | Rate data unavailable | Rate data unavailable | RVU14D |
| 2014-07-01 | Rate data unavailable | Rate data unavailable | RVU14C |
| 2014-04-01 | Rate data unavailable | Rate data unavailable | RVU14B |
| 2014-01-01 | Rate data unavailable | Rate data unavailable | RVU14A |
| 2013-10-01 | Rate data unavailable | Rate data unavailable | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Riverside, CA rate applies
Riverside, CA is a Medicare payment area, not a city. Our Census mapping connects it to 127 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Ontario
- Riverside
- San Bernardino
- Adelanto
- Aguanga
- Anza
- Apple Valley
- Baker
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
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