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Procedure · Updated Aug 1, 2026

Welcome to Medicare visit: CPT code and Medicare rate

A one-time preventive visit available during a beneficiary's first 12 months of Medicare Part B enrollment.

Also called: initial preventive physical exam, ippe, medicare initial visit.

Usually billed as

G0402
Office (non-facility)
$174.69
Facility
$114.23

National amounts for the Q3 2026 release (July 1 – September 30, 2026), using geographic index values of 1.000. Your local rate differs—open the code page for the locality breakdown.

It can only be billed once, and only inside that first-12-months window. After it, the Annual Wellness Visit takes over.

Common questions Copy link

Welcome to Medicare visit: which code is it?
G0402. A one-time preventive visit available during a beneficiary's first 12 months of Medicare Part B enrollment.
Welcome to Medicare visit: how much does Medicare pay?
Nationally, the Q3 2026 Physician Fee Schedule pays $174.69 in an office (non-facility) setting and $114.23 in a facility setting for G0402. Your local amount differs—the national figure applies geographic index values of 1.000, and Medicare then pays 80% of the allowed amount after the deductible is met.
Welcome to Medicare visit: what else affects the billing?
It can only be billed once, and only inside that first-12-months window. After it, the Annual Wellness Visit takes over.

Need the rate where you practice?

Every code page carries the full locality breakdown, the RVU and GPCI inputs, and the release that answered.

Open the code page

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All procedures How Medicare pays Office vs. facility rates Check a medical bill

This page maps everyday language to the code a claim normally carries. It is general information about how Medicare prices a service, not coding advice for a specific claim—the correct code always depends on what was actually documented and performed.

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