G0402 Initial preventive examination
Also known as: welcome visit, initial preventive exam, IPPE, annual physical
Initial preventive physical examination for Medicare beneficiary including comprehensive history, examination, and preventive screenings.
In Plain Language
Medicare initial health check
Clinical Context
Covered preventive service for new Medicare beneficiaries within first 12 months of Part B eligibility. Establishes baseline health status.
RVU Breakdown
| Work RVU | 2.60 |
| Total RVU | 2.60 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
G-codes are CMS-specific HCPCS codes for services not covered by standard CPT. Documentation requirements follow the same standards as the equivalent CPT service. Check Medicare LCD/NCD policies for coverage criteria.
How This Code Compares
With a work RVU of 2.60, this code ranks in the 85th percentile among G Codes codes — 2.7x the median (0.97). The highest wRVU in this category is 20.41.
Specialties
Frequently Asked Questions
What is CPT code G0402?
CPT G0402 (Initial preventive examination) is a G Codes code. Initial preventive physical examination for Medicare beneficiary including comprehensive history, examination, and preventive screenings.
Who uses CPT code G0402?
CPT G0402 is used by Primary Care, Preventive Medicine. Covered preventive service for new Medicare beneficiaries within first 12 months of Part B eligibility. Establishes baseline health status.
When is CPT G0402 used?
Covered preventive service for new Medicare beneficiaries within first 12 months of Part B eligibility. Establishes baseline health status.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.