G0402 represents the initial preventive physical examination; G0403 represents the ECG performed as part of that examination.
On this page
CMS RVU26D · Effective 2026-10-01
G0403 in Delaware
Office / nonfacility
$15.22
Base rate per service
Facility setting
Not available in this setting
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Diagnostic testing
About G0403: Initial preventive examination ECG
Reports a 12-lead screening ECG performed as part of the initial preventive physical examination when the complete test service is furnished.
G0403 represents a screening 12-lead ECG connected to the initial preventive physical examination, often called the Welcome to Medicare visit. The service includes the ECG tracing and its interpretation and report when furnished as a complete test. In an office or outpatient setting, clinical staff commonly obtain the tracing, while a physician or other qualified practitioner interprets it and documents the findings. The ECG is distinct from the preventive examination itself.
Report G0403 when the practice furnishes and bills the complete ECG service as part of the initial preventive examination. Documentation should identify the preventive visit, the ECG performed, and the interpretation and report. CMS identifies G0403 as a global-test-only code: use the separate component codes when billing only the tracing or only the interpretation and report. G0404 describes the tracing portion, and G0405 describes the interpretation and report portion.
CMS billing rules for G0403
- Professional and technical components
- Global-test-only code: separate codes describe the professional and technical components.
Where the value comes from
- Work RVU0.17 · 37%
- Practice expense (office) RVU0.27 · 59%
- Malpractice RVU0.02 · 4%
113.4K
Medicare services in 2024 · #522 by national volume
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.
G0403 compared with similar codes
Office rates for Delaware, from the same CMS release.
G0404 is for the ECG tracing portion alone. G0403 is used when the complete test service is furnished and billed together.
G0405 is for the ECG interpretation and report portion alone. G0403 represents the complete ECG test service.
The same code, a different location
How does Delaware compare?
G0403 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
$15.22
$1.80 higher than Delaware
$17.35
$2.13 higher than Delaware
$16.76
$1.54 higher than Delaware
$16.31
$1.09 higher than Delaware
$17.58
$2.36 higher than Delaware
$18.49
$3.27 higher than Delaware
Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, G0403 ranges from $13.77 in Arkansas to $19.67 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · G0403
Office
$13.95
Facility
Unavailable
$1.27 lower than Delaware for the office setting.
Arkansas
Arkansas · G0403
Office
$13.77
Facility
Unavailable
$1.45 lower than Delaware for the office setting.
Arizona
Arizona · G0403
Office
$14.99
Facility
Unavailable
$0.23 lower than Delaware for the office setting.
Bakersfield
California · G0403
Office
$16.08
Facility
Unavailable
$0.86 higher than Delaware for the office setting.
Chico
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
El Centro
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Fresno
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Hanford-Corcoran
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Madera
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Merced
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Modesto
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Napa
California · G0403
Office
$18.26
Facility
Unavailable
$3.04 higher than Delaware for the office setting.
Oxnard-Thousand Oaks-Ventura
California · G0403
Office
$16.91
Facility
Unavailable
$1.69 higher than Delaware for the office setting.
Redding
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Rest Of California
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Riverside-San Bernardino-Ontario
California · G0403
Office
$16.23
Facility
Unavailable
$1.01 higher than Delaware for the office setting.
Sacramento-Roseville-Folsom
California · G0403
Office
$16.73
Facility
Unavailable
$1.51 higher than Delaware for the office setting.
Salinas
California · G0403
Office
$16.66
Facility
Unavailable
$1.44 higher than Delaware for the office setting.
San Diego-Chula Vista-Carlsbad
California · G0403
Office
$17.00
Facility
Unavailable
$1.78 higher than Delaware for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · G0403
Office
$19.24
Facility
Unavailable
$4.02 higher than Delaware for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · G0403
Office
$19.22
Facility
Unavailable
$4.00 higher than Delaware for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · G0403
Office
$19.67
Facility
Unavailable
$4.45 higher than Delaware for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · G0403
Office
$19.57
Facility
Unavailable
$4.35 higher than Delaware for the office setting.
San Luis Obispo-Paso Robles
California · G0403
Office
$16.40
Facility
Unavailable
$1.18 higher than Delaware for the office setting.
Santa Cruz-Watsonville
California · G0403
Office
$17.11
Facility
Unavailable
$1.89 higher than Delaware for the office setting.
Santa Maria-Santa Barbara
California · G0403
Office
$16.71
Facility
Unavailable
$1.49 higher than Delaware for the office setting.
Santa Rosa-Petaluma
California · G0403
Office
$17.28
Facility
Unavailable
$2.06 higher than Delaware for the office setting.
Stockton
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Vallejo
California · G0403
Office
$18.23
Facility
Unavailable
$3.01 higher than Delaware for the office setting.
Visalia
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Yuba City
California · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Colorado
Colorado · G0403
Office
$15.86
Facility
Unavailable
$0.64 higher than Delaware for the office setting.
Connecticut
Connecticut · G0403
Office
$16.31
Facility
Unavailable
$1.09 higher than Delaware for the office setting.
Fort Lauderdale
Florida · G0403
Office
$16.02
Facility
Unavailable
$0.80 higher than Delaware for the office setting.
Rest Of Florida
Florida · G0403
Office
$15.30
Facility
Unavailable
$0.08 higher than Delaware for the office setting.
Atlanta
Georgia · G0403
Office
$15.66
Facility
Unavailable
$0.44 higher than Delaware for the office setting.
Rest Of Georgia
Georgia · G0403
Office
$14.52
Facility
Unavailable
$0.70 lower than Delaware for the office setting.
Hawaii, Guam
Hawaii · G0403
Office
$16.32
Facility
Unavailable
$1.10 higher than Delaware for the office setting.
Iowa
Iowa · G0403
Office
$14.20
Facility
Unavailable
$1.02 lower than Delaware for the office setting.
Idaho
Idaho · G0403
Office
$14.29
Facility
Unavailable
$0.93 lower than Delaware for the office setting.
East St. Louis
Illinois · G0403
Office
$15.32
Facility
Unavailable
$0.10 higher than Delaware for the office setting.
Rest Of Illinois
Illinois · G0403
Office
$14.96
Facility
Unavailable
$0.26 lower than Delaware for the office setting.
Suburban Chicago
Illinois · G0403
Office
$16.16
Facility
Unavailable
$0.94 higher than Delaware for the office setting.
Indiana
Indiana · G0403
Office
$14.36
Facility
Unavailable
$0.86 lower than Delaware for the office setting.
Kansas
Kansas · G0403
Office
$14.17
Facility
Unavailable
$1.05 lower than Delaware for the office setting.
Kentucky
Kentucky · G0403
Office
$14.31
Facility
Unavailable
$0.91 lower than Delaware for the office setting.
New Orleans
Louisiana · G0403
Office
$14.92
Facility
Unavailable
$0.30 lower than Delaware for the office setting.
Rest Of Louisiana
Louisiana · G0403
Office
$14.30
Facility
Unavailable
$0.92 lower than Delaware for the office setting.
Metropolitan Boston
Massachusetts · G0403
Office
$17.27
Facility
Unavailable
$2.05 higher than Delaware for the office setting.
Rest Of Massachusetts
Massachusetts · G0403
Office
$15.80
Facility
Unavailable
$0.58 higher than Delaware for the office setting.
Baltimore/Surr. Cntys
Maryland · G0403
Office
$16.27
Facility
Unavailable
$1.05 higher than Delaware for the office setting.
Rest Of Maryland
Maryland · G0403
Office
$15.47
Facility
Unavailable
$0.25 higher than Delaware for the office setting.
Rest Of Maine
Maine · G0403
Office
$14.39
Facility
Unavailable
$0.83 lower than Delaware for the office setting.
Southern Maine
Maine · G0403
Office
$15.04
Facility
Unavailable
$0.18 lower than Delaware for the office setting.
Detroit
Michigan · G0403
Office
$15.51
Facility
Unavailable
$0.29 higher than Delaware for the office setting.
Rest Of Michigan
Michigan · G0403
Office
$14.67
Facility
Unavailable
$0.55 lower than Delaware for the office setting.
Minnesota
Minnesota · G0403
Office
$15.16
Facility
Unavailable
$0.06 lower than Delaware for the office setting.
Metropolitan Kansas City
Missouri · G0403
Office
$14.80
Facility
Unavailable
$0.42 lower than Delaware for the office setting.
Metropolitan St. Louis
Missouri · G0403
Office
$14.93
Facility
Unavailable
$0.29 lower than Delaware for the office setting.
Rest Of Missouri
Missouri · G0403
Office
$14.10
Facility
Unavailable
$1.12 lower than Delaware for the office setting.
Mississippi
Mississippi · G0403
Office
$13.94
Facility
Unavailable
$1.28 lower than Delaware for the office setting.
Montana**
Montana · G0403
Office
$15.36
Facility
Unavailable
$0.14 higher than Delaware for the office setting.
North Carolina
North Carolina · G0403
Office
$14.52
Facility
Unavailable
$0.70 lower than Delaware for the office setting.
North Dakota**
North Dakota · G0403
Office
$14.97
Facility
Unavailable
$0.25 lower than Delaware for the office setting.
Nebraska
Nebraska · G0403
Office
$14.25
Facility
Unavailable
$0.97 lower than Delaware for the office setting.
New Hampshire
New Hampshire · G0403
Office
$15.65
Facility
Unavailable
$0.43 higher than Delaware for the office setting.
Northern Nj
New Jersey · G0403
Office
$17.21
Facility
Unavailable
$1.99 higher than Delaware for the office setting.
Rest Of New Jersey
New Jersey · G0403
Office
$16.49
Facility
Unavailable
$1.27 higher than Delaware for the office setting.
New Mexico
New Mexico · G0403
Office
$14.75
Facility
Unavailable
$0.47 lower than Delaware for the office setting.
Nevada**
Nevada · G0403
Office
$15.26
Facility
Unavailable
$0.04 higher than Delaware for the office setting.
Nyc Suburbs/Long Island
New York · G0403
Office
$18.00
Facility
Unavailable
$2.78 higher than Delaware for the office setting.
Poughkpsie/N Nyc Suburbs
New York · G0403
Office
$16.62
Facility
Unavailable
$1.40 higher than Delaware for the office setting.
Queens
New York · G0403
Office
$17.66
Facility
Unavailable
$2.44 higher than Delaware for the office setting.
Rest Of New York
New York · G0403
Office
$14.72
Facility
Unavailable
$0.50 lower than Delaware for the office setting.
Ohio
Ohio · G0403
Office
$14.59
Facility
Unavailable
$0.63 lower than Delaware for the office setting.
Oklahoma
Oklahoma · G0403
Office
$14.25
Facility
Unavailable
$0.97 lower than Delaware for the office setting.
Portland
Oregon · G0403
Office
$16.29
Facility
Unavailable
$1.07 higher than Delaware for the office setting.
Rest Of Oregon
Oregon · G0403
Office
$15.13
Facility
Unavailable
$0.09 lower than Delaware for the office setting.
Metropolitan Philadelphia
Pennsylvania · G0403
Office
$15.97
Facility
Unavailable
$0.75 higher than Delaware for the office setting.
Rest Of Pennsylvania
Pennsylvania · G0403
Office
$14.59
Facility
Unavailable
$0.63 lower than Delaware for the office setting.
Puerto Rico
Puerto Rico · G0403
Office
$15.45
Facility
Unavailable
$0.23 higher than Delaware for the office setting.
Rhode Island
Rhode Island · G0403
Office
$15.70
Facility
Unavailable
$0.48 higher than Delaware for the office setting.
South Carolina
South Carolina · G0403
Office
$14.58
Facility
Unavailable
$0.64 lower than Delaware for the office setting.
South Dakota**
South Dakota · G0403
Office
$14.92
Facility
Unavailable
$0.30 lower than Delaware for the office setting.
Tennessee
Tennessee · G0403
Office
$14.23
Facility
Unavailable
$0.99 lower than Delaware for the office setting.
Austin
Texas · G0403
Office
$15.82
Facility
Unavailable
$0.60 higher than Delaware for the office setting.
Beaumont
Texas · G0403
Office
$14.51
Facility
Unavailable
$0.71 lower than Delaware for the office setting.
Brazoria
Texas · G0403
Office
$15.18
Facility
Unavailable
$0.04 lower than Delaware for the office setting.
Dallas
Texas · G0403
Office
$15.28
Facility
Unavailable
$0.06 higher than Delaware for the office setting.
Fort Worth
Texas · G0403
Office
$15.20
Facility
Unavailable
$0.02 lower than Delaware for the office setting.
Galveston
Texas · G0403
Office
$15.23
Facility
Unavailable
$0.01 higher than Delaware for the office setting.
Houston
Texas · G0403
Office
$15.60
Facility
Unavailable
$0.38 higher than Delaware for the office setting.
Rest Of Texas
Texas · G0403
Office
$14.84
Facility
Unavailable
$0.38 lower than Delaware for the office setting.
Utah
Utah · G0403
Office
$14.76
Facility
Unavailable
$0.46 lower than Delaware for the office setting.
Virginia
Virginia · G0403
Office
$15.01
Facility
Unavailable
$0.21 lower than Delaware for the office setting.
Virgin Islands
United States Virgin Islands · G0403
Office
$15.45
Facility
Unavailable
$0.23 higher than Delaware for the office setting.
Vermont
Vermont · G0403
Office
$14.94
Facility
Unavailable
$0.28 lower than Delaware for the office setting.
Rest Of Washington
Washington · G0403
Office
$15.76
Facility
Unavailable
$0.54 higher than Delaware for the office setting.
Seattle (King Cnty)
Washington · G0403
Office
$17.57
Facility
Unavailable
$2.35 higher than Delaware for the office setting.
Wisconsin
Wisconsin · G0403
Office
$14.52
Facility
Unavailable
$0.70 lower than Delaware for the office setting.
West Virginia
West Virginia · G0403
Office
$14.47
Facility
Unavailable
$0.75 lower than Delaware for the office setting.
Wyoming**
Wyoming · G0403
Office
$15.19
Facility
Unavailable
$0.03 lower than Delaware for the office setting.
See how rates vary across the country
G0403 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$13.77
$18.49
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $18.49 | 1 |
| AL | $13.95 | 1 |
| AR | $13.77 | 1 |
| AZ | $14.99 | 1 |
| CA | $16.02–$19.67 | 29 |
| CO | $15.86 | 1 |
| CT | $16.31 | 1 |
| DC | $17.35 | 1 |
| DE | $15.22 | 1 |
| FL | $15.30–$16.76 | 3 |
| GA | $14.52–$15.66 | 2 |
| GU | $16.32 | 1 |
| HI | $16.32 | 1 |
| IA | $14.20 | 1 |
| ID | $14.29 | 1 |
| IL | $14.96–$16.31 | 4 |
| IN | $14.36 | 1 |
| KS | $14.17 | 1 |
| KY | $14.31 | 1 |
| LA | $14.30–$14.92 | 2 |
| MA | $15.80–$17.27 | 2 |
| MD | $15.47–$17.35 | 3 |
| ME | $14.39–$15.04 | 2 |
| MI | $14.67–$15.51 | 2 |
| MN | $15.16 | 1 |
| MO | $14.10–$14.93 | 3 |
| MS | $13.94 | 1 |
| MT | $15.36 | 1 |
| NC | $14.52 | 1 |
| ND | $14.97 | 1 |
| NE | $14.25 | 1 |
| NH | $15.65 | 1 |
| NJ | $16.49–$17.21 | 2 |
| NM | $14.75 | 1 |
| NV | $15.26 | 1 |
| NY | $14.72–$18.00 | 5 |
| OH | $14.59 | 1 |
| OK | $14.25 | 1 |
| OR | $15.13–$16.29 | 2 |
| PA | $14.59–$15.97 | 2 |
| PR | $15.45 | 1 |
| RI | $15.70 | 1 |
| SC | $14.58 | 1 |
| SD | $14.92 | 1 |
| TN | $14.23 | 1 |
| TX | $14.51–$15.82 | 8 |
| UT | $14.76 | 1 |
| VA | $15.01–$17.35 | 2 |
| VI | $15.45 | 1 |
| VT | $14.94 | 1 |
| WA | $15.76–$17.57 | 2 |
| WI | $14.52 | 1 |
| WV | $14.47 | 1 |
| WY | $15.19 | 1 |
Where does this rate apply?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for G0403 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$16.74
$15.22 × 110% = $16.74
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0403 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
15,232
- Code
- G0403
- Physician work
- 0.17
- Practice expense
- 0.27
- Malpractice
- 0.02
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.005 | 0.1709 |
| Practice expense | 0.27 | × 0.988 | 0.2668 |
| Malpractice | 0.02 | × 0.899 | 0.0180 |
| Total RVUs | 0.4556 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Delaware$15.22
Open G0403 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1.005 |
| Practice expense | 0.27 | 0.988 |
| Malpractice | 0.02 | 0.899 |
(0.17 × 1.005 + 0.27 × 0.988 + 0.02 × 0.899) × $33.4009 = $15.22
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
G0403 · Office / nonfacility
$15.22
Effective 2026-10-01
The base rate is $1.36 higher than on 2025-10-01, moving from $13.86 to $15.22 (9.8%).
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
$13.86changed to$15.22
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.24 changed to 0.27
- Work GPCI 1.009 changed to 1.005
- Practice expense GPCI 0.992 changed to 0.988
- Malpractice GPCI 0.949 changed to 0.899
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $13.86
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $15.22 | Not available in this setting | RVU26D |
| 2026-07-01 | $15.22 | Not available in this setting | RVU26C |
| 2026-04-01 | $15.22 | Not available in this setting | RVU26B |
| 2026-01-01 | $15.22 | Not available in this setting | RVU26A |
| 2025-10-01 | $13.86 | Not available in this setting | RVU25D |
| 2025-07-01 | $13.86 | Not available in this setting | RVU25C |
| 2025-04-01 | $13.86 | Not available in this setting | RVU25B |
| 2025-01-01 | $13.86 | Not available in this setting | RVU25A |
G0403 billing questions
When should the practice report G0403 rather than G0404 or G0405?
Report G0403 when the complete ECG service is furnished and billed together. G0404 is for the tracing portion, and G0405 is for the interpretation and report portion.
Is G0403 the code for the initial preventive examination?
No. G0403 reports the ECG performed as part of that examination; G0402 represents the initial preventive physical examination.
What documentation supports G0403?
The record should show that the ECG was performed in connection with the initial preventive examination and include the tracing and its interpretation and report.
Can G0403 be reported when the practice provides only the tracing?
Use G0404 for the tracing portion when the complete test is not furnished and billed. G0403 represents the complete test service.
Can G0403 be reported when only the interpretation is provided?
Use G0405 for the interpretation and report portion when that is the service furnished. G0403 represents the complete test service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
