HCPCS G0405: ECG interpretationMedicare rate & RVUs in Oregon
Reports the professional interpretation of a screening ECG performed during the initial preventive physical examination, separate from the tracing service.
Medicare pays $8.24–$8.62 for G0405 in the office in Oregon, from Rest Of Oregon to Portland. Which amount applies depends on the service address.
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 9 sections
What G0405 covers
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.
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.
Where G0405 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | $8.62 | $8.62 |
| Rest Of Oregon | $8.24 | $8.24 |
How the G0405 rate is calculated
Each of G0405’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 · G0405
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 0.17Practice expense 0.07Malpractice 0.01
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for G0405
The CMS indicators that decide how G0405 is paid alongside other services.
CMS payment indicators · G0405
ECG interpretation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 2 | Professional component only. |
G0405 compared with similar codes
Compare codes
G0405 vs G0403 vs G0404 vs 93010: national Medicare rates
Swap in your local Medicare rate.
How to choose
- G0403Preventive ECG
- G0403 represents the combined IPPE screening ECG service, including the tracing and interpretation/report. G0405 is limited to the professional reading and report.
- G0404IPPE ECG
- G0404 reports the tracing portion only. Choose G0405 for the physician’s interpretation and report.
- 93010ECG interpretation
- 93010 is the interpretation-and-report portion of a standard ECG service. G0405 is specific to the screening ECG performed during the IPPE.
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 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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