$14.39–$15.04
G0403 represents the combined IPPE screening ECG service, including the tracing and interpretation/report. G0405 is limited to the professional reading and report.
On this page
CMS RVU26D · Effective 2026-10-01
G0405 ECG interpretation Medicare reimbursement rates in Maine
Reports the professional interpretation of a screening ECG performed during the initial preventive physical examination, separate from the tracing service. Compare G0405 office and facility rates across CMS payment localities in Maine.
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 G0405 in Maine?
Maine has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$8.04–$8.21
2 of 2 localities have a supported rate.
Facility setting
$8.04–$8.21
2 of 2 localities have a 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.
Electrocardiography
About G0405: IPPE screening ECG interpretation and report
Reports the professional interpretation of a screening ECG performed during the initial preventive physical examination, separate from the tracing service.
G0405 covers a physician’s interpretation and written report for a screening ECG performed as part of the initial preventive physical examination, commonly called the Welcome to Medicare visit. The physician reviews the ECG tracing and documents findings such as rhythm, rate, intervals, or conduction abnormalities. The code represents the professional reading, not acquisition of the tracing, and is used in office or facility settings where the IPPE and screening ECG are performed.
Report G0405 when the professional interpretation and report are documented for the IPPE screening ECG. The record should connect the ECG to the preventive examination and include the interpretation and report. CMS identifies G0405 as professional-component-only; the technical portion is reported separately with G0404. G0403 represents the combined screening ECG service when both the tracing and interpretation are furnished.
CMS billing rules for G0405
- Professional and technical components
- Professional-component-only code: interpretation and report; a separate code covers the technical portion.
Where the value comes from
- Work RVU0.17 · 68%
- Practice expense (office) RVU0.07 · 28%
- Malpractice RVU0.01 · 4%
12.8K
Medicare services in 2024 · #1345 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.
G0405 compared with similar codes
Office rates for Maine, from the same CMS release.
$6.35–$6.83
G0404 reports the tracing portion only. Choose G0405 for the physician’s interpretation and report.
$8.04–$8.21
93010 is the interpretation-and-report portion of a standard ECG service. G0405 is specific to the screening ECG performed during the IPPE.
Compare G0405 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.
2 of 2 payment localities
Rest Of Maine →
Office / nonfacility
$8.04
Facility
$8.04
Southern Maine →
Office / nonfacility
$8.21
Facility
$8.21
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
G0405 billing questions
Can G0405 be used for any ECG interpretation?
No. G0405 is for the professional interpretation and report of a screening ECG performed during the initial preventive physical examination. An ECG read for another clinical purpose uses the applicable ECG code for that service.
Which code covers the ECG tracing?
G0404 covers the tracing portion of the IPPE screening ECG. G0405 covers the interpretation and report; G0403 represents the combined service.
How does G0405 differ from 93010?
G0405 is specific to interpretation and reporting of the IPPE screening ECG. Code 93010 is the interpretation-and-report portion of a standard ECG service in other circumstances.
Does G0405 need modifier 26?
G0405 already identifies the professional interpretation-and-report service. The technical tracing is represented separately by G0404.
What documentation supports G0405?
Document that the ECG was obtained for screening during the IPPE and retain the physician’s interpretation and report. The record should distinguish the reading from the tracing 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.
15,231G0402,,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
15,236G0407,,Inpt/tele follow up 25,A,,1.39,0.40,NA,0.40,,0.12,1.91,1.91,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
15,237G0408,,Inpt/tele follow up 35,A,,2.00,0.62,NA,0.62,,0.18,2.80,2.80,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00