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.
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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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