Practice Support Update Blog

G2211: Have You Heard?

Jan 15, 2024 9:59:00 AM / by Practice Support Team

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Did you know?

The typical primary care physician caring for Medicare patients must coordinate care with 229 other physicians working in 117 practices?


The 2024 Final Rule from CMS (Center for Medicare and Medicaid Services) established a new code to ensure Primary Care Providers receive additional payment for the high-value visits they provide.

G2211 is an add-on code to reflect the time and practice resources used when primary care providers build long relationships with patients to address the majority of their health care needs with consistency and continuity over time.  

Descriptor: 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)

When to use G2211:

Use G2211 when you are the continuing focal point for all health care services the patient needs. Per CMS, the relationship between the patient and the practitioner is the determining factor of when the add-on code should be billed. 

Do not use it if your relationship is discrete, routine, or time-limited nature.


Source (and learn more):

The American Academy of Family Physicians G221 Add-on Code: What It Is and When To Use It, accessed Jan 9, 2024

Summary of information from 2024 Physician Fee Schedule Final Rule



Tags: Billing, Primary Care, medicare, practice management

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