Preventive & Medicare wellness

G0402 - RVUs & Medicare payment (2026)

Welcome to Medicare preventive visit (once, first 12 months).

Component	Non-facility	Facility
Work RVU	2.60	2.60
Practice expense RVU	2.46	0.65
Malpractice RVU	0.17	0.17
Total RVUs	5.23	3.42
National payment (CF $33.4009)	$174.69	$114.23
Qualifying APM payment (CF $33.5675)	$175.56	$114.80

How G0402 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for G0402 ranges from $160.35 in Arkansas (AR) to $220.90 in Alaska (AK); calculate G0402 for your locality.

Alaska (AK) $220.90 San Jose-Sunnyvale-Santa Clara (CA) $217.92 San Jose-Sunnyvale-Santa Clara (CA) $217.13 San Francisco-Oakland-Berkeley (CA) $213.55 San Francisco-Oakland-Berkeley (CA) $213.36 Napa (CA) $203.49 Vallejo (CA) $203.21 NYC Suburbs/Long Island (NY) $200.64 National average $174.69 … 97 more localities between … Rest Of Missouri (MO) $163.20 Alabama (AL) $161.95 Mississippi (MS) $161.78 Arkansas (AR) $160.35

Non-facility payment for G0402 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Related codes - preventive & medicare wellness

G0438 · medicare annual wellness visit, initial
G0439 · medicare annual wellness visit, subsequent

Frequently asked questions

How much does Medicare pay for G0402 in 2026?

The national non-facility payment is $174.69 and the facility payment is $114.23, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for G0402?

The 2026 work RVU for G0402 is 2.60. Total RVUs are 5.23 in the non-facility setting and 3.42 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.