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See a sample rate comparisonHCPCS G0404 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Initial Services for Medicare Enrollment |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for G0404 |
National average reimbursement for HCPCS G0404 by major payers:
$10.51
$12.57
$8.95
$6.83
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HCPCS G0404
5 of 25 sample ratesHigher to lower in this preview
Lallie Kemp Medical Ctr, Lallie Kemp Regional Medical Center
$43.83Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$22.51Published rateThe Hospital Authority Of Miller County, Miller County Hospital - Pro Fees
The Hospital Authority Of Miller County
$17.45Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$14.93Published rateChi Memorial Hospital
Chi Memorial Hospital - Georgia
$8.65Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0404 vs. Other Initial Services for Medicare Enrollment Codes
The HCPCS G0404 code is part of the Procedures / Professional Services services used for Initial Services for Medicare Enrollment. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS G0404 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| G0403-HCPCS | Low | Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report |
| G0404-HCPCS | Low | Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination |
| G0405-HCPCS | Low | Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for the initial preventive physical examination |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0404. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0404 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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