HCPCS G2211
Complex e/m visit add on
No national payment amount
Status B is not separately payable under the PFS.
Did Medicare pay separately for HCPCS G2211 in Q4 2021?
Not at a published national rate. HCPCS G2211 carries status B (bundled) in the Q4 2021 release. Medicare folds payment for this code into the service it is incident to, never onto its own line. Treat the blank amount as unpriced, not as $0.
Source: Physician relative value file (Q4 2021) · effective October 2021 · materially updated Aug 4, 2026 · compact facts
Common questions
Why is there no payment amount for G2211?
Its status indicator is B (bundled). Medicare folds payment for this code into the service it is incident to, never onto its own line. The blank is deliberate: the amount is either unknown or paid under another provision, so reading it as $0 would be wrong.
Why would a Medicare claim for G2211 be denied or paid less?
Each item below comes from a CMS indicator on this page — not general billing advice.
- Its status indicator is B (bundled) — Medicare folds payment for this code into the service it is incident to, never onto its own line. See status indicators
Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. The G2211 rate last moved in Q1 2026 (+11.8% non-facility) — see its rate history or what changed each release, or get an email when a new release moves rates.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
Saw this code on your bill?
What is a G2211 visit in patient-friendly terms?
In plain terms: Complex e/m visit add on You'll typically see HCPCS G2211 on a bill or explanation of benefits (EOB) when a clinician performs or bills for this service.
How this amount is computed
amount = (work RVU × work GPCI + PE RVU × PE GPCI + MP RVU × MP GPCI) × conversion factor. National amounts use GPCI = 1.000. To price an RVU figure of your own, use the RVU-to-dollars converter.
| Component | RVU |
|---|---|
| Work RVU | blank |
| Practice expense RVU (non-facility) | blank |
| Practice expense RVU (facility) | blank |
| Malpractice RVU | blank |
Every rate combines three parts: work (the clinician’s time, skill and effort), practice expense (office overhead — higher when the service is done in a doctor’s own office), and malpractice (the share of liability-insurance cost). A blank means CMS publishes no national number for that part. Read it as unknown, and never as zero.
Code and billing changes
The most relevant verified changes to this code and related Medicare billing policy.
Effective Jan 1, 2021
G2211 became reportable, but remained bundled
For qualifying longitudinal-care visits, G2211 could be reported with any office/outpatient visit level, including 99213 and 99214. Medicare assigned it bundled status, so it did not produce separate payment.
Rate history by release
National non-facility amount for G2211 across quarterly releases. Up 6.5% since Q1 2024 · high $17.37 in Q1 2026
| Release | Status | Non-facility | Facility |
|---|---|---|---|
| Q3 2026 Jun 30, 2026 – present | A | $17.37 (0.0%) | $14.36 (0.0%) |
| Q2 2026 Mar 10, 2026 – Jun 29, 2026 | A | $17.37 (0.0%) | $14.36 (0.0%) |
| Q1 2026 Dec 29, 2025 – Mar 9, 2026 | A | $17.37 (+11.8%) | $14.36 (-7.5%) |
| Q4 2025 Sep 11, 2025 – Dec 28, 2025 | A | $15.53 (0.0%) | $15.53 (0.0%) |
| Q3 2025 Jun 5, 2025 – Sep 10, 2025 | A | $15.53 (0.0%) | $15.53 (0.0%) |
| Q2 2025 Jun 5, 2025 – Jun 4, 2025 | A | $15.53 (0.0%) | $15.53 (0.0%) |
| Q1 2025 Dec 23, 2024 – Jun 4, 2025 | A | $15.53 (-4.8%) | $15.53 (-4.8%) |
| Q4 2024 Aug 9, 2024 – Dec 22, 2024 | A | $16.31 (0.0%) | $16.31 (0.0%) |
| Q3 2024 May 3, 2024 – Aug 8, 2024 | A | $16.31 (0.0%) | $16.31 (0.0%) |
| Q2 2024 Mar 15, 2024 – May 2, 2024 | A | $16.31 (0.0%) | $16.31 (0.0%) |
| Q1 2024 Mar 11, 2023 – Mar 14, 2024 | A | $16.31 | $16.31 |
| Q4 2023 Aug 1, 2023 – Mar 10, 2023 | B | — | — |
| Q3 2023 May 10, 2023 – Jul 31, 2023 | B | — | — |
| Q2 2023 Feb 3, 2023 – May 9, 2023 | B | — | — |
| Q1 2023 Jan 30, 2023 – Feb 2, 2023 | B | — | — |
| Q4 2022 Jul 29, 2022 – Jan 29, 2023 | B | — | — |
| Q3 2022 Jun 17, 2022 – Jul 28, 2022 | B | — | — |
| Q2 2022 Feb 14, 2022 – Jun 16, 2022 | B | — | — |
| Q1 2022 Dec 15, 2021 – Feb 13, 2022 | B | — | — |
| Q4 2021 Aug 3, 2021 – Dec 14, 2021 | B | — | — |
| Q3 2021 Jun 10, 2021 – Aug 2, 2021 | B | — | — |
| Q2 2021 Feb 26, 2021 – Jun 9, 2021 | B | — | — |
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Source & method
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This is computed from CMS's Medicare Physician Fee Schedule Q4 2021 release (schedule pfs, effective October 2021). National amounts apply a GPCI of 1.000 and leave sequestration off. The status indicator decides payability, never the RVU values, so a blank RVU stays blank. Releases are immutable: a rate retrieved for a past quarter always reflects that release. CMS owns the code description shown for HCPCS Level II codes. Commercial and cash-pay figures anywhere on this page are arithmetic on the Medicare amount, using commonly cited reimbursement ranges. They're illustrative, and no nationwide claims database stands behind them. Our methodology covers all of this in depth — sourcing, parsing, versioning, and how claims are cross-checked before they ship.
Conversion factor $34.8931 read from the same file, row 11, column 25.
Use the (i) buttons next to each amount above for the exact row, columns, and math.
Cite this rate
This link keeps pointing at the Q4 2021 figures, even after a newer release lands.
HCPCS G2211 Medicare Physician Fee Schedule rate (Q4 2021). Localis. https://localishealth.com/hcpcs/G2211/2021/D