G0404 – Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination

HCPCS Level II code · G codes: Procedures / Professional Services (Temporary)

Active code Carrier judgment

HCPCS codeG0404
Long description
Electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination
Short description
Ekg tracing for initial prev
Pricing indicator
11 Priced using national RVUs (Physician Fee Schedule)
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
T2C Other tests - EKG monitoring
Added
January 1, 2009
Last change
January 1, 2009 – No change

Frequently asked questions

What is HCPCS code G0404?

G0404 is a HCPCS Level II code for electrocardiogram, routine ecg with 12 leads; tracing only, without interpretation and report, performed as a screening for the initial preventive physical examination.

Does Medicare cover G0404?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby G codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.