HCPCS G2211
Complex e/m visit add on
Bundled — payment folds into another service instead of its own line.
No national payment amount in Q3 2022
Status B is not separately payable under the PFS.
National amount today · Q3 2026
$17.37
The Q3 2022 release carries no national amount for G2211, but the current Q3 2026 release prices it: $17.37 in an office (non-facility) and $14.36 in a facility. That is today’s figure, not Q3 2022’s — national, before geographic adjustment and before the ~2% sequestration cut.
Reading an old claim? Keep this page for Q3 2022 and open the current G2211 page for today’s.
Did Medicare pay separately for HCPCS G2211 in Q3 2022? Copy link
Not at a published national rate. HCPCS G2211 carries status B (bundled) in the Q3 2022 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 (Q3 2022) · effective July 2022 · materially updated Aug 4, 2026 · compact facts
Why isn't there a national PFS amount?
- Status B (Bundled): Medicare folds payment for this code into the service it is incident to, never onto its own line.
- Status B is not separately payable under the PFS.
CMS evidence · 2 sources
Open evidence
Hide evidence
Common questions Copy link
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?
These come from CMS indicators 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.
Applicable payment rules Copy link
Only the rules that can matter for G2211, each linking to its detail on this page.
Global period: what G2211's fee already covers Copy link
This code is always billed alongside another service and carries no follow-up period of its own. The primary procedure's global period governs; this indicator does not determine whether either line is payable.
| Modifier | Reports |
|---|---|
| -25 | A significant, separately identifiable E/M on the same day as the procedure, beyond its usual pre- and post-operative care. |
A modifier reports what happened; it does not by itself make a service payable. Documentation has to support it.
Can you bill it with another code? Copy link
Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit between it and G2211.
Rate history by release Copy link
National non-facility amount for G2211 across quarterly releases. +6.5% increase since Q1 2024 · high $17.37 in Q1 2026
| Release | Status | Non-facility | Facility |
|---|---|---|---|
| Q3 2026 Jul 1, 2026 – present | A | $17.37 (0.0% no change ) | $14.36 (0.0% no change ) |
| Q2 2026 Apr 1, 2026 – Jun 30, 2026 | A | $17.37 (0.0% no change ) | $14.36 (0.0% no change ) |
| Q1 2026 Jan 1, 2026 – Mar 31, 2026 | A | $17.37 (+11.8% increase ) | $14.36 (-7.5% decrease ) |
| Q4 2025 Oct 1, 2025 – Dec 31, 2025 | A | $15.53 (0.0% no change ) | $15.53 (0.0% no change ) |
| Q3 2025 Jul 1, 2025 – Sep 30, 2025 | A | $15.53 (0.0% no change ) | $15.53 (0.0% no change ) |
| Q2 2025 Apr 1, 2025 – Jun 30, 2025 | A | $15.53 (0.0% no change ) | $15.53 (0.0% no change ) |
| Q1 2025 Jan 1, 2025 – Mar 31, 2025 | A | $15.53 (-4.8% decrease ) | $15.53 (-4.8% decrease ) |
| Q4 2024 Oct 1, 2024 – Dec 31, 2024 | A | $16.31 (0.0% no change ) | $16.31 (0.0% no change ) |
| Q3 2024 Jul 1, 2024 – Sep 30, 2024 | A | $16.31 (0.0% no change ) | $16.31 (0.0% no change ) |
| Q2 2024 Apr 1, 2024 – Jun 30, 2024 | A | $16.31 (0.0% no change ) | $16.31 (0.0% no change ) |
| Q1 2024 Jan 1, 2024 – Mar 31, 2024 | A | $16.31 | $16.31 |
| Q4 2023 Oct 1, 2023 – Dec 31, 2023 | B | — | — |
| Q3 2023 Jul 1, 2023 – Sep 30, 2023 | B | — | — |
| Q2 2023 Apr 1, 2023 – Jun 30, 2023 | B | — | — |
| Q1 2023 Jan 1, 2023 – Mar 31, 2023 | B | — | — |
| Q4 2022 Oct 1, 2022 – Dec 31, 2022 | B | — | — |
| Q3 2022 Jul 1, 2022 – Sep 30, 2022 | B | — | — |
| Q2 2022 Apr 1, 2022 – Jun 30, 2022 | B | — | — |
| Q1 2022 Jan 1, 2022 – Mar 31, 2022 | B | — | — |
| Q4 2021 Oct 1, 2021 – Dec 31, 2021 | B | — | — |
| Q3 2021 Jul 1, 2021 – Sep 30, 2021 | B | — | — |
| Q2 2021 Apr 1, 2021 – Jun 30, 2021 | B | — | — |
Code and billing changes Copy link
The most relevant verified changes to this code and related Medicare billing policy.
Planned Full interactive timeline, two-date comparison, and an exportable citation packet.
Effective Jan 1, 2021
G2211 became reportable, but remained bundled
For qualifying longitudinal-care visits, G2211 could be reported with any new- or established-patient office/outpatient visit level, 99202-99205 or 99211-99215. Medicare assigned it bundled status, so it did not produce separate payment.
Did this answer your question about HCPCS G2211?
We're building this out in the open. Tell us what you were actually trying to work out and we'll either answer you directly or build the page that does.
Source & method
Show sources
Hide
This is computed from CMS's Medicare Physician Fee Schedule Q3 2022 release (schedule pfs, effective July 2022). 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. Our methodology covers the depth: sourcing, parsing, versioning, and how we cross-check claims before they ship.
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 Q3 2022 figures, even after a newer release lands.
HCPCS G2211 Medicare Physician Fee Schedule rate (Q3 2022). Localis. https://localishealth.com/hcpcs/G2211/2022/C