Coding: Browse HCPCS Level II 2020 Edition

Browse HCPCS Level II 2020 Edition

G0403 - G0405 Electrocardiogram

G0403

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report

short

Ekg for initial prevent exam

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.17	0.29	0.29	0.02	0.48	0.48	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	Code Descriptor / CPT Instruction
OPH	1.0	2 Date of Service Edit: Policy	Code Descriptor / CPT Instruction

G0404

Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

short

Ekg tracing for initial prev

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.0	0.23	0.23	0.01	0.24	0.24	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	Code Descriptor / CPT Instruction
OPH	1.0	2 Date of Service Edit: Policy	Code Descriptor / CPT Instruction

G0405

Electrocardiogram, routine ecg with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination

short

Ekg interpret & report preve

RVU

CPT Modifier	Physician Component	Facility Practice	Nonfacility Practice	Professional Liability Insurance	Total Facility	Total Nonfacility	Global Period
	0.17	0.06	0.06	0.01	0.24	0.24	XXX

MUE

Location	Value	Ajudication Indicator	Rationale
PRA	1.0	2 Date of Service Edit: Policy	Code Descriptor / CPT Instruction
OPH	1.0	2 Date of Service Edit: Policy	Code Descriptor / CPT Instruction