$161.95
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 Preventive ECG Medicare reimbursement rates in Alabama
Reports a 12-lead screening ECG performed as part of the initial preventive physical examination when the complete test service is furnished. Compare G0403 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for G0403 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$13.95
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Alabama, from the same CMS release.
$6.03
G0404 is for the ECG tracing portion alone. G0403 is used when the complete test service is furnished and billed together.
$7.91
G0405 is for the ECG interpretation and report portion alone. G0403 represents the complete ECG test service.
Compare G0403 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$13.95
Facility
Unavailable
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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 Alabama.
PPRRVU2026_Oct_nonQPP.csv
15,232
- Code
- G0403
- Physician work
- 0.17
- Practice expense
- 0.27
- Malpractice
- 0.02
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.17 | × 1.000 | 0.1700 |
| Practice expense | 0.27 | × 0.875 | 0.2363 |
| Malpractice | 0.02 | × 0.566 | 0.0113 |
| Total RVUs | 0.4176 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$13.95
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.17 | 1 |
| Practice expense | 0.27 | 0.875 |
| Malpractice | 0.02 | 0.566 |
(0.17 × 1 + 0.27 × 0.875 + 0.02 × 0.566) × $33.4009 = $13.95
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.
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.
15,229G0400,26,Home sleep test/type 4 porta,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,230G0400,TC,Home sleep test/type 4 porta,C,,0.00,0.00,,0.00,NA,0.00,0.00,0.00,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,231G0402,,Initial preventive exam,A,,2.60,2.46,,0.65,,0.17,5.23,3.42,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,232G0403,,Ekg for initial prevent exam,A,,0.17,0.27,,0.27,NA,0.02,0.46,0.46,4,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,233G0404,,Ekg tracing for initial prev,A,,0.00,0.20,,0.20,NA,0.01,0.21,0.21,3,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,234G0405,,Ekg interpret & report preve,A,,0.17,0.07,,0.07,,0.01,0.25,0.25,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,235G0406,,Inpt/tele follow up 15,A,,0.76,0.24,NA,0.24,,0.08,1.08,1.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515