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

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 West Virginia, Medicare pays $125.58 for G0422 in the office and $125.58 when it’s performed in a hospital or facility.

$125.58Office (non-facility)
$125.58Hospital or facility
−4.6%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 West Virginia
  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 West Virginia 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. West Virginia pays $125.58. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0422 in West Virginia vs other payment areas
  1. West Virginia · this page$125.58
  2. Los Angeles, CA · California$143.88+$18.30
  3. Washington, DC area · District of Columbia$146.27+$20.69
  4. Miami, FL · Florida$140.15+$14.57
  5. Chicago, IL · Illinois$137.56+$11.98
  6. Manhattan, NY · New York$147.91+$22.33
  7. Alaska · Alaska$167.88+$42.30

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

Every other payment area

G0422 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$122.47$122.47
ArkansasArkansas$121.32$121.32
ArizonaArizona$129.19$129.19
Bakersfield, CACalifornia$137.01$137.01
Chico, CACalifornia$136.58$136.58
El Centro, CACalifornia$136.60$136.60
Fresno, CACalifornia$136.58$136.58
Hanford, CACalifornia$136.58$136.58

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 West Virginia 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

110

Locality
West Virginia
Physician work
1.000
Practice expense
0.869
Malpractice
1.431
Office calculation for G0422 in West Virginia
ComponentRVULocality factorAdjusted
Physician work2.05× 1.0002.0500
Practice expense1.77× 0.8691.5381
Malpractice0.12× 1.4310.1717
Total RVUs3.7598
Conversion factor× 33.4009

Office rate, West Virginia$125.58

Office: (2.05 × 1 + 1.77 × 0.869 + 0.12 × 1.431) × $33.4009 = $125.58

Facility: (2.05 × 1 + 1.77 × 0.869 + 0.12 × 1.431) × $33.4009 = $125.58

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, West Virginia
Same family
G0423Cardiac rehabilitation, without exerciseIntensive cardiac rehabilitation session in the same family, reported when exercise is not included.$125.58
Used instead
93798Cardiac rehabilitation, continuous ECG monitoringConventional cardiac rehabilitation with exercise rather than an intensive cardiac rehabilitation session.$24.24
93797Cardiac rehab, without ECG monitoringConventional cardiac rehabilitation without exercise rather than an intensive cardiac rehabilitation session.$16.36

How G0422 has changed in West Virginia

G0422 · Office / nonfacility

$125.58

Effective 2026-10-01

The base rate is $6.13 higher than on 2025-10-01, moving from $119.45 to $125.58 (5.1%).

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

    $119.45changed to$125.58

    • 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
    • Practice expense GPCI 0.862 changed to 0.869
    • Malpractice GPCI 1.333 changed to 1.431

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $121.17changed to$119.45

    • 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

    $119.19changed to$121.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $113.01changed to$119.19

    • 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
    • Practice expense GPCI 0.860 changed to 0.862
    • Malpractice GPCI 1.266 changed to 1.333

  5. January 1, 2023

    RVU23A

    $112.72changed to$113.01

    • 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
    • Practice expense GPCI 0.858 changed to 0.860
    • Malpractice GPCI 1.198 changed to 1.266

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $110.49changed to$112.72

    • 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

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $104.11changed to$110.49

    • 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
    • Practice expense GPCI 0.857 changed to 0.858
    • Malpractice GPCI 1.247 changed to 1.198

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $112.01changed to$104.11

    • 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
    • Malpractice GPCI 1.296 changed to 1.247

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $110.55changed to$112.01

    • 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

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $103.86changed to$110.55

    • 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
    • Practice expense GPCI 0.847 changed to 0.857
    • Malpractice GPCI 1.289 changed to 1.296

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $97.10changed to$103.86

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 1.56 changed to 1.66
    • Practice expense RVU 1.24 changed to 1.32
    • Practice expense GPCI 0.836 changed to 0.847
    • Malpractice GPCI 1.282 changed to 1.289

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $97.29changed to$97.10

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 1.25 changed to 1.24
    • Malpractice RVU 0.08 changed to 0.09

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $96.81changed to$97.29

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $95.90changed to$96.81

    • Conversion factor 35.8228 changed to 35.7547
    • Work RVU 1.47 changed to 1.56
    • Practice expense RVU 1.33 changed to 1.25
    • Practice expense GPCI 0.832 changed to 0.836
    • Malpractice GPCI 1.256 changed to 1.282

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $74.18changed to$95.90

    • Conversion factor 34.0230 changed to 35.8228
    • Work RVU 1.20 changed to 1.47
    • Practice expense RVU 1.08 changed to 1.33
    • Malpractice RVU 0.07 changed to 0.08
    • Practice expense GPCI 0.828 changed to 0.832
    • Malpractice GPCI 1.229 changed to 1.256

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $74.18

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$125.58$125.58RVU26D
2026-07-01$125.58$125.58RVU26C
2026-04-01$125.58$125.58RVU26B
2026-01-01$125.58$125.58RVU26A
2025-10-01$119.45$119.45RVU25D
2025-07-01$119.45$119.45RVU25C
2025-04-01$119.45$119.45RVU25B
2025-01-01$119.45$119.45RVU25A
2024-10-01$121.17$121.17RVU24D
2024-07-01$121.17$121.17RVU24C
2024-04-01$121.17$121.17RVU24B
2024-03-09$121.17$121.17RVU24AR
2024-01-01$119.19$119.19RVU24A
2023-10-01$113.01$113.01RVU23D
2023-07-01$113.01$113.01RVU23C
2023-04-01$113.01$113.01RVU23B
2023-01-01$113.01$113.01RVU23A
2022-10-01$112.72$112.72RVU22D
2022-07-01$112.72$112.72RVU22C
2022-04-01$112.72$112.72RVU22B
2022-01-01$112.72$112.72RVU22A
2021-10-01$110.49$110.49RVU21D
2021-07-01$110.49$110.49RVU21C
2021-04-01$110.49$110.49RVU21B
2021-01-01$110.49$110.49RVU21A
2020-10-01$104.11$104.11RVU20D
2020-07-01$104.11$104.11RVU20C
2020-04-01$104.11$104.11RVU20B
2020-01-01$104.11$104.11RVU20A
2019-10-01$112.01$112.01RVU19D
2019-07-01$112.01$112.01RVU19C
2019-04-01$112.01$112.01RVU19B
2019-01-01$112.01$112.01RVU19A
2018-10-01$110.55$110.55RVU18D
2018-07-01$110.55$110.55RVU18C
2018-04-01$110.55$110.55RVU18B
2018-01-01$110.55$110.55RVU18AR1
2017-10-01$103.86$103.86RVU17D
2017-07-01$103.86$103.86RVU17C
2017-04-01$103.86$103.86RVU17B
2017-01-01$103.86$103.86RVU17A
2016-10-01$97.10$97.10RVU16D
2016-07-01$97.10$97.10RVU16C
2016-04-01$97.10$97.10RVU16B
2016-01-01$97.10$97.10RVU16A
2015-10-01$97.29$97.29RVU15D
2015-07-01$97.29$97.29RVU15C
2015-04-01$96.81$96.81RVU15B
2015-01-01$96.81$96.81RVU15A
2014-10-01$95.90$95.90RVU14D
2014-07-01$95.90$95.90RVU14C
2014-04-01$95.90$95.90RVU14B
2014-01-01$95.90$95.90RVU14A
2013-10-01$74.18$74.18RVU13D
2013-07-01$74.18$74.18RVU13C
2013-04-01$74.18$74.18RVU13B
2013-01-01$74.18$74.18RVU13AR

Price G0422 for an earlier date of service

Where the West Virginia rate applies

West Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 439 cities and communities in West Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Accoville
  • Addison (Webster Springs)
  • Adrian
  • Albright
  • Alderson
  • Alum Creek
  • Amherstdale
  • Anawalt

Browse all communities in West Virginia

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 West VirginiaGPCI2026.csv, line 110 (RVU26D)

Open CMS sourceHow we calculate rates

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