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
Maine
Hospital Address Code Price Last Updated
Northern Light Blue Hill Hospital 57 Water Street, Blue Hill G0402 $58 [source] 4 years ago
Sebasticook Valley Health 447 N Main St, Pittsfield G0402 $104 [source] 4 years ago
Mercy Hospital 144 State St, Portland G0402 $114 [source] 4 years ago
Eastern Maine Healthcare Systems Inland Hospital 200 Kennedy Memorial Dr, Waterville G0402 $131 [source] 4 years ago
Northern Light A.r. Gould Hospital 140 Academy St, Presque Isle G0402 $161 [source] 4 years ago
Charles A Dean Memorial Hospital 364 Pritham Ave, Greenville G0402 $230 [source] 4 years ago
Eastern Maine Medical Center 489 State St, Bangor G0402 $263 [source] 4 years ago
Northern Light Maine Coast Hospital 50 Union St, Ellsworth G0402 $278 [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.