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Describe a service in plain words, or type a CPT/HCPCS code.

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 Q4 2026 release (October 1 – December 31, 2026), using geographic index values of 1.000. Your local rate differs; the code page has 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 Q4 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 the numbers come from.

Open the code page

Keep exploring Copy link

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's 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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