G0402
Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
- Release
- October 2026
- Effective
Official Coding Notes
Reproduced verbatim from the October 2026 HCPCS Level II files.
Note
PURSUANT 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.
Version History
How G0402 appears in each release imported from the official files, newest first.
-
October 2026 Effective
CurrentInitial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
-
July 2026 Effective
UnchangedInitial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
-
April 2026 Effective
UnchangedInitial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
-
January 2026 Effective
UnchangedInitial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
Data Source
Code information on this page is derived from the October 2026 HCPCS Level II files published by CMS.
- Release
- October 2026
- Effective
- Source file
- october-2026-alpha-numeric-hcpcs-file.zip
Official HCPCS Level II source files (opens in a new tab)
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