HCPCS code G0422: Cardiac rehabilitation, intensive program with exercise2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $128.94 for G0422 in the office and $128.94 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.

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 South Dakota 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. South Dakota pays $128.94. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

G0422 rates by state

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

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.

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.

Codes related to G0422

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

How G0422 has changed in South Dakota

Price G0422 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates