Preventive Medicine: Initial Preventive Physical Examination

by  Find-A-Code™
May 9th, 2018

Initial Preventive Physical Examination (Medicare Only)

Procedure Codes
G0402: Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
G0403: Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
G0404: Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination
G0405: Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination

ICD-10-CM
G0402-G0405: No specific diagnoses

Frequency
G0402-G0405: Once in a lifetime

Additional Information

G0403-G0405

  • Copayment and deductible still apply

G0402-G0405

  • Only covered in the first 12 months of the patients first Part B coverage period
  • Coverage varies by MAC, contact your payer

Find-A-Code™ - Preventive Services - The information in this document does not guarantee payment or that included codes meet applicable qualifications as preventive services for all insurances and insurance plans, please consult your payer.


References:

Preventive Medicine: Initial Preventive Physical Examination. (2018, May 9). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/preventive-medicine-initial-preventive-physical-examination-34105.html

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