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HCPCS codes / G / G0402

G0402

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment

Code type
HCPCS Level II
Coverage
Carrier judgment
BETOS category
M1A
Pricing indicator
11
Effective date
20090101
CMS processing notePURSUANT TO SECTION 101 (B) OF THE MEDICARE IMPROVEMENT FOR PATIENTS AND PROVIDERS ACT OF 2008 (MIPPA) EFFECTIVE JANUARY 1, 2009, WE EXPANDED COVERAGE FOR THE WELCOME TO MEDICARE BENEFIT; IT IS SUBJECT TO CERTAIN ELIGIBILITY AND OTHER LIMITATIONS THAT ALLOW PAYMENT FOR AN INITIAL PREVENTIVE PHYSICAL EXAMINATION (IPPE), NOT LATER THAN 12 MONTHS AFTER THE DATE THE INDIVIDUAL'S FIRST COVERAGE PERIOD BEGINS UNDER MEDICARE PART B.
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.