Code: G0404

Description:
Description: Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination
HCPCS Category: Temporary procedures and professional services
Other Descriptions:
HC ECG RTN ECG W/12 LEADS TRACING ONLY W/O I&R
RHC EKG INIT PREV
EKG TRACING FOR INIT PREV
INIT PREVNT EXAM SCREEN EKG, TRACING ONL
Ekg tracing for initial prev
Related codes:
Code: G0400
HST TYPE4 UNATT >=3 CHNL
Code: G0402
INITIAL PREVENTIVE EX MC
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: 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
Massachusetts
Hospital Address Code Price Last Updated
North Shore Medical Center Hospital 81 Highland Ave, Salem G0404 $115 [source] 4 years ago
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain G0404 $115 [source] 4 years ago
Spaulding Rehab Hospital Boston 300 1St Ave, Charlestown G0404 $115 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls G0404 $115 [source] 4 years ago
Nantucket Cottage Hospital 57 Prospect St, Nantucket G0404 $156 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs G0404 $161 [source] 4 years ago
Spaulding Hospital Cambridge 1575 Cambridge St, Cambridge G0404 $161 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston G0404 $161 [source] 4 years ago
Spaulding Rehab Hospital Cape Cod 311 Service Rd, East Sandwich G0404 $161 [source] 4 years ago
Cooley Dickinson Health Care 30 Locust St, Northampton G0404 $161 [source] 4 years ago
Mclean Hospital 115 Mill St, Belmont G0404 $161 [source] 4 years ago
Massachusetts Eye And Ear 243 Charles St, Boston G0404 $161 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston G0404 $161 [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.