`G0422` Intens cardiac rehab w/exerc

What G0422 is

Intensive cardiac rehabilitation; with or without continuous ecg monitoring with exercise, per session

HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.

Medicare payment for G0422 (CY2026)

	Work RVU	Practice expense RVU	Malpractice RVU	Total	Medicare rate
Non-facility (office)	2.05	1.77	0.12	3.94	$131.60
Facility (hospital, ASC)	2.05	1.77	0.12	3.94	$131.60

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.

Adjust for a Medicare locality:

Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

Medically Unlikely Edit (MUE)

Medicare caps G0422 at 6 units per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: CMS Policy. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with G0422? These codes are bundled into it

G0422 is a Column 1 code in 54 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 code	Short description	Modifier indicator
`0596T`	Temp fml iu vlv-pmp 1st insj	1 - modifier may bypass	Check pair
`0597T`	Temp fml iu valve-pmp rplcmt	1 - modifier may bypass	Check pair
`0903T`	Ecg alg 12 lead reduced i&r	1 - modifier may bypass	Check pair
`0904T`	Ecg alg 12 ld rdcd trcg only	1 - modifier may bypass	Check pair
`0905T`	Ecg alg 12 ld rdcd i&r only	1 - modifier may bypass	Check pair
`36000`	Place needle in vein	1 - modifier may bypass	Check pair
`36410`	Vnpnxr 3yr/> phy/qhp dx/ther	1 - modifier may bypass	Check pair
`36591`	Draw blood off venous device	0 - no modifier bypass	Check pair
`36592`	Collect blood from picc	0 - no modifier bypass	Check pair
`51701`	Insert bladder catheter	1 - modifier may bypass	Check pair
`51702`	Insert temp bladder cath	1 - modifier may bypass	Check pair
`51703`	Insert bladder cath complex	1 - modifier may bypass	Check pair
`93000`	Electrocardiogram complete	1 - modifier may bypass	Check pair
`93005`	Electrocardiogram tracing	1 - modifier may bypass	Check pair
`93010`	Electrocardiogram report	1 - modifier may bypass	Check pair
`93015`	Cv stress test supvj i&r	1 - modifier may bypass	Check pair
`93016`	Cv stress test supvj only	0 - no modifier bypass	Check pair
`93017`	Cv stress test tracing only	1 - modifier may bypass	Check pair
`93018`	Cv stress test i&r only	1 - modifier may bypass	Check pair
`93025`	Microvolt t-wave assess	1 - modifier may bypass	Check pair
`93040`	Rhythm ecg with report	1 - modifier may bypass	Check pair
`93041`	Rhythm ecg tracing	1 - modifier may bypass	Check pair
`93042`	Rhythm ecg report	1 - modifier may bypass	Check pair
`93268`	Ecg record/review	1 - modifier may bypass	Check pair
`93797`	Phys/qhp op car rhab wo ecg	0 - no modifier bypass	Check pair
`93798`	Phys/qhp op car rhab w/ecg	0 - no modifier bypass	Check pair
`94625`	Phy/qhp op pulm rhb w/o mntr	1 - modifier may bypass	Check pair
`94626`	Phy/qhp op pulm rhb w/mntr	1 - modifier may bypass	Check pair
`94760`	N-invas ear/pls oximetry 1	0 - no modifier bypass	Check pair
`94761`	N-invas ear/pls oximetry mlt	0 - no modifier bypass	Check pair

Showing 30 of 54 column 2 codes. Use the pair checker for any specific combination.

G0422 is bundled into these codes

G0422 appears as a Column 2 code in 1 active edits. Reported with one of these Column 1 codes on the same date of service, G0422 is the code that denies.

Column 1 code	Short description	Modifier indicator
`93351`	Stress tte complete	1	Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.