Initial Preventive Physical Examination (IPPE) - JF Part B
Initial Preventive Physical Examination (IPPE)
HCPCS/CPT Codes
- G0402 - IPPE
- G0403 - EKG for IPPE
- G0404 - EKG tracing for IPPE
- G0405 - EKG interpret & report for IPPE
Frequency
Once in a lifetime and must be furnished no later than 12 months after effective date of first Medicare Part B coverage period
Coverage
- All new Medicare beneficiaries within first 12 months of their first Medicare Part B coverage period
- Performed by Physician, Physician Assistant (PA), Nurse Practitioner (NP), Clinical Nurse Specialist (CNS)
Payment
- G0402 - Copayment/coinsurance waived; Deductible waived
- G0403, G0404 and G0405 - Copayment/coinsurance applies; Deductible applies
Noridian Medicare Portal
Yes - G0402, G0403, G0404, G0405
Resources
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