HCPCS code G0423: Cardiac rehabilitation, without exercise2026 Medicare rate & RVUs in El Centro, CA
Reports an exercise-free session of an intensive cardiac rehabilitation program, with structured risk-factor education and support for eligible cardiac patients.
In El Centro, CA, Medicare pays $136.60 for G0423 in the office and $136.60 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · G0423 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 G0423 covers
G0423 represents a session in an intensive cardiac rehabilitation program when exercise is not part of that session. The service is part of a structured cardiac recovery program, not simply a counseling visit. Cardiac rehabilitation staff deliver the program’s non-exercise components, which may include education and support addressing cardiovascular risk factors and behavior change. Sessions are typically furnished in an outpatient rehabilitation setting to patients participating in an intensive program.
Report G0423 for each qualifying session delivered without exercise; do not use it for a session that includes exercise. The record should support the patient’s participation in the intensive program, the date and delivery of the session, and the non-exercise services provided. The code is session-based rather than reported as timed units.
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 G0423
Across 109 of 109 payment localities, the office rate for G0423 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.
- El Centro, CA · this page$136.60
- Bakersfield, CA · California$137.01+$0.41
- Chico, CA · California$136.58−$0.02
- Fresno, CA · California$136.58−$0.02
- Hanford, CA · California$136.58−$0.02
- Los Angeles, CA · California$143.88+$7.28
- Madera, CA · California$136.58−$0.02
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| 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 |
G0423 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 G0423 rate is calculated
Each of G0423’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 · G0423
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 El Centro, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,251
- Code
- G0423
- 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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.05 | × 1.017 | 2.0848 |
| Practice expense | 1.77 | × 1.096 | 1.9399 |
| Malpractice | 0.12 | × 0.541 | 0.0649 |
| Total RVUs | 4.0897 | ||
| 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
Payment rules and modifiers for G0423
G0423 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 · G0423
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 G0423 has changed in El Centro, CA
G0423 · 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.
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
$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.
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.
March 9, 2024
RVU24AR
$130.77changed to$132.94
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
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
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.
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.
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.
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.
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.
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.
January 1, 2017
RVU17A
No ratechanged to$114.09
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 | $136.60 | $136.60 | RVU26D |
| 2026-07-01 | $136.60 | $136.60 | RVU26C |
| 2026-04-01 | $136.60 | $136.60 | RVU26B |
| 2026-01-01 | $136.60 | $136.60 | RVU26A |
| 2025-10-01 | $130.77 | $130.77 | RVU25D |
| 2025-07-01 | $130.77 | $130.77 | RVU25C |
| 2025-04-01 | $130.77 | $130.77 | RVU25B |
| 2025-01-01 | $130.77 | $130.77 | RVU25A |
| 2024-10-01 | $132.94 | $132.94 | RVU24D |
| 2024-07-01 | $132.94 | $132.94 | RVU24C |
| 2024-04-01 | $132.94 | $132.94 | RVU24B |
| 2024-03-09 | $132.94 | $132.94 | RVU24AR |
| 2024-01-01 | $130.77 | $130.77 | RVU24A |
| 2023-10-01 | $125.10 | $125.10 | RVU23D |
| 2023-07-01 | $125.10 | $125.10 | RVU23C |
| 2023-04-01 | $125.10 | $125.10 | RVU23B |
| 2023-01-01 | $125.10 | $125.10 | RVU23A |
| 2022-10-01 | $120.93 | $120.93 | RVU22D |
| 2022-07-01 | $120.93 | $120.93 | RVU22C |
| 2022-04-01 | $120.93 | $120.93 | RVU22B |
| 2022-01-01 | $120.93 | $120.93 | RVU22A |
| 2021-10-01 | $118.36 | $118.36 | RVU21D |
| 2021-07-01 | $118.36 | $118.36 | RVU21C |
| 2021-04-01 | $118.36 | $118.36 | RVU21B |
| 2021-01-01 | $118.36 | $118.36 | RVU21A |
| 2020-10-01 | $113.53 | $113.53 | RVU20D |
| 2020-07-01 | $113.53 | $113.53 | RVU20C |
| 2020-04-01 | $113.53 | $113.53 | RVU20B |
| 2020-01-01 | $113.53 | $113.53 | RVU20A |
| 2019-10-01 | $121.69 | $121.69 | RVU19D |
| 2019-07-01 | $121.69 | $121.69 | RVU19C |
| 2019-04-01 | $121.69 | $121.69 | RVU19B |
| 2019-01-01 | $121.69 | $121.69 | RVU19A |
| 2018-10-01 | $120.04 | $120.04 | RVU18D |
| 2018-07-01 | $120.04 | $120.04 | RVU18C |
| 2018-04-01 | $120.04 | $120.04 | RVU18B |
| 2018-01-01 | $120.04 | $120.04 | RVU18AR1 |
| 2017-10-01 | $114.09 | $114.09 | RVU17D |
| 2017-07-01 | $114.09 | $114.09 | RVU17C |
| 2017-04-01 | $114.09 | $114.09 | RVU17B |
| 2017-01-01 | $114.09 | $114.09 | 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 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
G0423 billing questions
When should G0423 be chosen instead of G0422?
Use G0423 for an intensive cardiac rehabilitation session without exercise. Use G0422 when exercise is included in the session.
Is G0423 reported by time or by session?
It is reported per session, not as timed units. Document the session date and the services furnished.
Can G0423 be used for ordinary cardiac rehabilitation?
G0423 identifies intensive cardiac rehabilitation. Conventional cardiac rehabilitation is represented by codes such as 93797 and 93798, depending on the service and monitoring.
What documentation supports G0423?
Document the patient’s participation in the intensive program and the non-exercise services delivered during that session. The record should distinguish the session from one that includes exercise.
Does G0423 describe only education?
No. It identifies an exercise-free session within an intensive cardiac rehabilitation program; the record should reflect the program services actually provided, not just a generic counseling encounter.
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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