HCPCS Code G0402

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
Code effective Jan 01, 2009

HCPCS Section
Procedures/Professional Services (Temporary Codes)

G0402 is a valid 2026 HCPCS code meaning Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment or (Initial preventive exam) for short. HCPCS G0402 has been effective since 01/01/2009 and applies to Medical care.


HCPCS Code Details - G0402

HCPCS Level II Code
Section G - Procedures/Professional Services (Temporary Codes)
HCPCS Code G0402
Description

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

Short description:
Initial preventive exam

HCPCS Pricing indicator 11 - Price established using national RVU's
Multiple pricing indicator A - Not applicable as HCPCS priced under one methodology
Coverage code C - Carrier judgment
BETOS2 code M1A - Office visits - new
HCPCS Action code N - No maintenance for this code
Type of service 1 - Medical care
Effective date Effective Jan 01, 2009
Date added Added Jan 01, 2009

See also

  • HCPCS G0400 · Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels

  • HCPCS G0403 · Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report

1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”


HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved.