MM13272 – Edits to Prevent Payment of G2211 with Office/Outpatient Evaluation and Management Visit and Modifier 25
This new Article comprises Subregulatory Guidance for complexity add-on code G2211: Medicare pays separately starting January 1, 2024 and won’t pay when an associated O/O E/M visit with modifier 25 is reported. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR13272 that is posted on the CMS website at https://www.cms.gov/files/document/r12370cp.pdf.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 21, 2023
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