G0402
Medicare WellnessCMS status: AInitial Preventive Physical Examination (IPPE), one-time benefit within the first 12 months of Medicare Part B enrollment.
Work RVU
2.60
Practice RVU
2.46
Malpractice RVU
0.17
Total RVU
5.23
2026 Medicare payment
$174.69
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop G0402 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
First-time Medicare patient within 12 months of Part B enrollment. Cannot be repeated.
Documentation checklist
- ✓Review of medical and social history.
- ✓Review of risk factors for depression, functional ability, safety.
- ✓Vital signs and limited exam.
- ✓End-of-life planning discussion offered.
- ✓Written prevention plan and schedule of services.
Common pitfalls
- !Window is strict — 12 months from Part B enrollment, not from age 65.
- !If missed, patient is eligible for G0438 (first AWV) after the IPPE window closes.
Common modifiers
25
Common ICD-10 pairings
Z00.00
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.