Code: G0402

Description:
Description: Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
HCPCS Category: Temporary procedures and professional services
Other Descriptions:
HC INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR
INIT PREV PE LTD NEW BENEF DUR 1ST 12 MOS MCR
INITIAL PREVENTIVE EXAM
ISM CHARGE 1230
INITIAL PREVENTIVE PHYS EXAM
FP INIT PHY EXAM MCARE RES
Init Preventive Exam New
Related codes:
Code: G0400
HST TYPE4 UNATT >=3 CHNL
Code: G0403
Description: Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
HCPCS Category: Temporary procedures and professional services
Code: G0404
EKG TRACING PREVENT EXAM
Code: G0405
Description: Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination
HCPCS Category: Temporary procedures and professional services
Code: G0406
Description: Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth
HCPCS Category: Temporary procedures and professional services
Code: G0407
Description: Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth
HCPCS Category: Temporary procedures and professional services
Code: G0408
Description: Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth
HCPCS Category: Temporary procedures and professional services
Code: G0409
Description: Social work and psychological services, directly relating to and/or furthering the patient's rehabilitation goals, each 15 minutes, face-to-face; individual (services provided by a corf-qualified social worker or psychologist in a corf)
HCPCS Category: Temporary procedures and professional services
Idaho
Hospital Address Code Price Last Updated
Kootenai Health 2003 Kootenai Health Way, Coeur D Alene G0402 $122 [source] 4 years ago
St. Joseph Regional Medical Center 415 6Th St, Lewiston G0402 $137 [source] 4 years ago
Caribou Memorial Hospital 300 S 3Rd W, Soda Springs G0402 $167 [source] 4 years ago
Steele Memorial Medical Center 203 S Daisy St, Salmon G0402 $167 [source] 4 years ago
North Canyon Medical Center 267 North Canyon Drive, Gooding G0402 $199 [source] 4 years ago
Boundary Community Hospital 6640 Kaniksu St, Bonners Ferry G0402 $234 [source] 4 years ago
Power County Hospital 510 Roosevelt St, American Falls G0402 $245 [source] 4 years ago
Shoshone Medical Center 25 Jacobs Gulch Rd, Kellogg G0402 $246 [source] 4 years ago
West Valley Medical Center 3720 S Indiana Ave, Caldwell G0402 $323 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.