Preventive Physical Examination (IPPE)
Also known as the “Welcome to Medicare Preventive Visit” HCPCS/CPT Codes
G0402 – IPPE
G0403 – EKG for IPPE
G0404 – EKG tracing for IPPE
G0405 – EKG interpret & report for IPPE
See https://www.cms.gov/Medicare/Coverage/CoverageGenInfo/ICD10.html for individual Change Requests (CRs) and coding translations for ICD-10
Who Is Covered
All new Medicare beneficiaries who are within the first 12 months of their first Medicare Part B coverage period
Once in a lifetime
Must furnish no later than 12 months after the effective date of the first Medicare Part B coverage period
• Copayment/coinsurance waived
• Deductible waived
G0403, G0404, and G0405:
• Copayment/coinsurance applies
• Deductible applies
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