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
Wisconsin
Hospital Address Code Price Last Updated
Howard Young Medical Center Inc Of Woodruff Wisconsin 240 Maple Street, Woodruff G0402 $112 [source] 4 years ago
Essentia Health St. Mary's Hospital-Superior 3500 Tower Ave, Superior G0402 $157 [source] 4 years ago
Watertown Regional Medical Center 125 Hospital Drive, Watertown G0402 $161 [source] 4 years ago
Ascension Ne Wisconsin-St Elizabeth Campus 1506 S Oneida St, Appleton G0402 $222 [source] 4 years ago
Ascension Calumet Hospital 614 Memorial Dr, Chilton G0402 $223 [source] 4 years ago
Aspirus Medford Hospital 135 S Gibson St, Medford G0402 $261 [source] 4 years ago
Aspirus Divine Savior Hospital 2817 New Pinery Rd, Portage G0402 $261 [source] 4 years ago
Aspirus Riverview Hospital 410 Dewey St, Wisconsin Rapids G0402 $261 [source] 4 years ago
Aspirus Langlade Hospital 110 E 5Th Ave, Antigo G0402 $261 [source] 4 years ago
Aspirus Wausau Hospital 333 Pine Ridge Blvd, Wausau G0402 $261 [source] 4 years ago
Prairie Ridge Health 1515 Park Ave, Columbus G0402 $350 [source] 4 years ago
Chippewa Valley Hospital & Oakview Care Center, Inc. 1220 3Rd Ave W, Durand G0402 $499 [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.