HCPCS code G0403 — Ekg for initial prevent exam.
Status: Active.
Effective Jan 1, 2009.
Source: CMS HCPCS Level II.
G0403
ActiveEkg for initial prevent exam
Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Jan 1, 2009
Code type:
alphanumeric
OPPS Status:
M
— Items / services not billable to the fiscal intermediary or MAC
MUE — Medically Unlikely Edits
Maximum units of G0403 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with G0403 without appropriate documentation.
Source: CMS National Correct Coding Initiative (NCCI)