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
Vermont
Hospital Address Code Price Last Updated
Central Vermont Medical Center 130 Fisher Rd, Montpelier G0404 $27 [source] 4 years ago
Porter Hospital 115 Porter Drive, Middlebury G0404 $36 [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.