CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

Delayed for three years: HCPCS add-on code G2211 for visit complexity: new in 2021

The massive stimulus bill and continuing resolution passed by Congress mandated that CMS delay implementation of using code G2211 (or another similar code) for three years. The President signed the bill on 12/27. This confirms the delay in implementation of G2211 for three years.

Do not use code G2211.

  • CMS finalized add-on code G2211, formerly described with placeholder code GPC1X
  • This code may be used by primary care and certain other specialties who are addressing health needs with a consistency and continuity over a long period of time
  • G2211 has a wRVU of .33 with a national payment rate of $15.88
  • The code may be reported for new and established patients, but may not be reported with any codes but 99202–99215

CMS finalized its proposal to develop an add-on code for office and outpatient visits (99202—99215) in 2021.

G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious condition or a complex condition. (Add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)

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- Betsy Nicoletti
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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.