$124.16
Both represent intensive cardiac rehabilitation; G0422 includes exercise in the session, while G0423 is used when the session is conducted without exercise.
On this page
CMS RVU26D · Effective 2026-10-01
G0422 Cardiac rehabilitation Medicare reimbursement rates in Iowa
Reports a session of intensive cardiac rehabilitation that includes supervised exercise and structured lifestyle intervention for an eligible patient. Compare G0422 office and facility rates across CMS payment localities in Iowa.
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 G0422 in Iowa?
Iowa 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
$124.16
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$124.16
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
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.
Cardiac rehabilitation
About G0422: Intensive cardiac rehabilitation with exercise
Reports a session of intensive cardiac rehabilitation that includes supervised exercise and structured lifestyle intervention for an eligible patient.
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.
Where the value comes from
- Work RVU2.05 · 52%
- Practice expense (office) RVU1.77 · 45%
- Malpractice RVU0.12 · 3%
100.1K
Medicare services in 2024 · #559 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.
G0422 compared with similar codes
Office rates for Iowa, from the same CMS release.
$24.29
93798 describes conventional cardiac rehabilitation with exercise. G0422 is for the exercise-inclusive session within an intensive cardiac rehabilitation program.
$16.54
93797 describes conventional cardiac rehabilitation without exercise. G0422 requires an intensive program and an exercise-inclusive session.
Compare G0422 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
Iowa →
Office / nonfacility
$124.16
Facility
$124.16
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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 G0422 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
15,250
- Code
- G0422
- Physician work
- 2.05
- Practice expense
- 1.77
- Malpractice
- 0.12
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.05 | × 1.000 | 2.0500 |
| Practice expense | 1.77 | × 0.915 | 1.6196 |
| Malpractice | 0.12 | × 0.397 | 0.0476 |
| Total RVUs | 3.7172 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$124.16
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.05 | 1 |
| Practice expense | 1.77 | 0.915 |
| Malpractice | 0.12 | 0.397 |
(2.05 × 1 + 1.77 × 0.915 + 0.12 × 0.397) × $33.4009 = $124.16
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.05 | 1 |
| Practice expense | 1.77 | 0.915 |
| Malpractice | 0.12 | 0.397 |
(2.05 × 1 + 1.77 × 0.915 + 0.12 × 0.397) × $33.4009 = $124.16
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.
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 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.
15,247G0416,TC,"Prostate biopsy, any mthd",A,,0.00,5.62,,5.62,NA,0.05,5.67,5.67,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,248G0420,,Ed svc ckd ind per session,A,,2.12,1.15,,1.15,NA,0.13,3.40,3.40,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,249G0421,,Ed svc ckd grp per session,A,,0.50,0.29,,0.29,NA,0.03,0.82,0.82,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,250G0422,,Intens cardiac rehab w/exerc,A,,2.05,1.77,,1.77,,0.12,3.94,3.94,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,251G0423,,Intens cardiac rehab no exer,A,,2.05,1.77,,1.77,,0.12,3.94,3.94,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,252G0425,,Inpt/ed teleconsult30,A,,1.92,0.41,NA,0.41,,0.19,2.52,2.52,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,253G0426,,Inpt/ed teleconsult50,A,,2.61,0.67,NA,0.67,,0.23,3.51,3.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136