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
Michigan
Hospital Address Code Price Last Updated
Mclaren Port Huron 1221 Pine Grove Ave, Port Huron G0404 $15 [source] 4 years ago
Mclaren Oakland 50 N Perry St, Pontiac G0404 $30 [source] 4 years ago
Mclaren Macomb 1000 Harrington St, Mount Clemens G0404 $34 [source] 4 years ago
Aspirus Keweenaw Hospital 205 Osceola Street, Calumet G0404 $50 [source] 4 years ago
Aspirus Ontonagon Hospital 601 S Seventh St, Ontonagon G0404 $50 [source] 4 years ago
Aspirus Ironwood Hospital N10565 Grandview Ln, Ironwood G0404 $50 [source] 4 years ago
Aspirus Iron River Hospital 1400 W Ice Lake Rd, Iron River G0404 $50 [source] 4 years ago
Up Health System – Marquette 580 West College Avenue, Marquette G0404 $52 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak G0404 $62 [source] 4 years ago
Dmc Sinai-Grace Hospital 6071 West Outer Drive, Detroit G0404 $68 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe G0404 $92 [source] 4 years ago
Beaumont Special Radiological Procedures 3601 W Thirteen Mile Rd, Royal Oak G0404 $161 [source] 4 years ago
William Beaumont Hospital 1026 Eleven Mile Road, Royal Oak G0404 $161 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy G0404 $161 [source] 4 years ago
Beaumont Orthopaedic Center 3535 W 13 Mile Road, Royal Oak G0404 $161 [source] 4 years ago
Beaumont Health System 3601 W. 13 Mile Rd, Royal Oak G0404 $161 [source] 4 years ago
William Beaumont Hospital 5150 Coolidge Hwy, Royal Oak G0404 $161 [source] 4 years ago
Botsford Continuing Care Corporation 21450 Archwood Cir, Farmington G0404 $161 [source] 4 years ago
William Beaumont Hospital 4949 Coolidge Hwy, Royal Oak G0404 $161 [source] 4 years ago
William Beaumont Hospital 3535 W 13 Mile Rd, Royal Oak G0404 $161 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy G0404 $161 [source] 4 years ago
William Beaumont Hospital 3601 W 13 Mile Rd, Royal Oak G0404 $161 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy G0404 $161 [source] 4 years ago
Beaumont - Farmington Hills 28050 Grand River Ave, Farmington G0404 $161 [source] 4 years ago
Oakwood Health Promotions, Inc. 16391 Rotunda Dr, Dearborn G0404 $230 [source] 4 years ago
Oakwood Healthcare, Inc. 18101 Oakwood Blvd, Dearborn G0404 $230 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, G0404 $230 [source] 4 years ago
Beaumont Wayne 33155 Annapolis St, Wayne G0404 $230 [source] 4 years ago
William Beaumont Hospital 18181 Oakwood Blvd, Dearborn G0404 $230 [source] 4 years ago
William Beaumont Hospital 5450 Fort St, Trenton G0404 $230 [source] 4 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor G0404 $230 [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 §180.