MM13473: How to Use the Office & Outpatient Evaluation and Management Visit Complexity Add-on Code G2211
This revised Article comprises Subregulatory Guidance for correct use of HCPCS code G2211 and modifier 25, documentation requirements for G2211, patient coinsurance and deductible and how to use G2211 with modifier 25 for certain Part B services. MLN Matters (MM) Articles are based on information contained within Change Requests (CRs). In this case, this article is based on content within CR13473 that is posted on the CMS website at https://www.cms.gov/files/document/r12461cp.pdf and https://www.cms.gov/files/document/r13015otn.pdf .
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: December 26, 2024
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.