Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 80.1
Healthcare Common Procedure Coding System (HCPCS) Coding for the IPPE
80.1 - Healthcare Common Procedure Coding System (HCPCS) Coding for the IPPE
(Rev. 2159, Issued: 02-15-11, Effective: 01-01-11, Implementation: 04-04-11)
The HCPCS codes listed below were developed for the IPPE benefit effective January 1, 2005, for individuals whose
initial enrollment is on or after January 1, 2005.
G0344: Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first
6 months of Medicare enrollment
Short Descriptor: Initial Preventive Exam
G0366: Electrocardiogram, routine ECG with 12 leads; performed as a component of the initial preventive
examination with interpretation and report
Short Descriptor: EKG for initial prevent exam
G0367: tracing only, without interpretation and report, performed as a component of the initial preventive
examination
Short Descriptor: EKG tracing for initial prev
G0368: interpretation and report only, performed as a component of the initial preventive examination
Short Descriptor: EKG interpret & report preve
The following new HCPCS codes were developed for the IPPE benefit effective January 1, 2009, and replaced codes
G0344, G0366, G0367, and G0368 shown above beginning with dates of service on or after January 1, 2009:
G0402: Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first
12 months of Medicare enrollment
Short Descriptor: Initial Preventive exam
G0403: Electrocardiogram, routine ECG with 12 leads; performed as a screening for the initial preventive physical
examination with interpretation and report
Short Descriptor: EKG for initial prevent exam
G0404: Electrocardiogram, routine ECG with 12 leads; tracing only, without interpretation and report, performed as
a screening for the initial preventive physical examination
Short Descriptor: EKG tracing for initial prev
G0405: Electrocardiogram, routine ECG with 12 leads; interpretation and report only, performed as a screening for
the initial preventive physical examination
Short Descriptor: EKG interpret & report preve