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See a sample rate comparisonHCPCS G0422 Fee Schedule
Medicare rates as of October 2026
HCPCS G0422 is classified under Procedures / Professional Services, in the Cardiac and Pulmonary Rehabilitation Services subgroup.
Intensive cardiac rehabilitation; with or without continuous ECG monitoring with exercise, per session
| Key Fact | Detail |
|---|---|
| Service Type | Procedures / Professional Services Cardiac and Pulmonary Rehabilitation Services |
| Hospital Outpatient Group (APC) | APC 5771 - Cardiac Rehabilitation |
| Common Revenue Codes | 0943 |
| Medicare Fee Schedule | $131.60 national non-facility rate (2026)View Medicare rates for G0422 |
| Medicaid Fee Schedule | $53.36 median of the 7 states in the free previewView Medicaid rates for G0422 |
National average reimbursement for HCPCS G0422 by major payers:
$136.55
BCBS / Anthem
$118.88
UnitedHealthcare
$111.83
Aetna
$137.97
Cigna
Compare published rates across providers.
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HCPCS G0422
5 of 25 sample ratesHigher to lower in this preview
Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$355.20Published rateEmory Healthcare
Emory University
$266.89Published rateDevon Daney
Aztec Urgent Care LLC
$127.11Published rateAztec Urgent Care, LLC
Aztec Urgent Care LLC
$99.36Published rateEmanuel County Hospital Authority, Emanuel Medical Center
$61.61Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS G0422 vs. Other Cardiac and Pulmonary Rehabilitation Services Codes
The table lists codes related to G0422. Select one to see its fee schedule.
| Code | Description |
|---|---|
| G0421-HCPCS | Face-to-face educational services related to the care of chronic kidney disease; group, per session, per one hour |
| G0422-HCPCS | Intensive cardiac rehabilitation; with or without continuous ECG monitoring with exercise, per session |
| G0423-HCPCS | Intensive cardiac rehabilitation; with or without continuous ECG monitoring; without exercise, per session |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS G0422. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the G0422 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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Frequently Asked Questions
What APC is HCPCS G0422 assigned to?
Medicare's hospital outpatient payment system (OPPS) assigns HCPCS G0422 to APC 5771 (Cardiac Rehabilitation). An APC groups outpatient services that Medicare pays at the same base rate.
Which revenue codes are billed with HCPCS G0422?
Hospital price transparency files list HCPCS G0422 under these revenue codes: 0943. A revenue code names the hospital department or charge category for the line; it does not change what the service is.