Bundled / not separately paid
G2211 · PFS Q2 2023 · Historical
No national PFS rate in Q2 2023
Status B is not separately payable under the PFS.
CMS RVU23BApril 1 – June 30, 2023
PFS status evidence
Inspect PFS status evidence
- Code
- G2211
- Release
- Q2 2023, revision 1
- Result
- Bundled / not separately paid
Citations
-
Shows this code’s PFS status (B). Result: Bundled / not separately paid.
Physician relative value file (PPRRVU)CMS RVU23BApril 1 – June 30, 2023
This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.
PPRRVU23_APR.csv row 2,098 in rvu23b-updated-02-27-2023.zip
In the CMS file
Loading rows 2,096–2,100 of PPRRVU23_APR.csv…
Download rvu23b-updated-02-27-2023.zip from CMS File fingerprint
6a47fe38620fee5aff0fbba61f50983de3a9733e23acc7373c453261da6f0cd7
HCPCS G2211 has no published national rate. It carries status B (bundled) in the Q2 2023 release. Medicare folds payment for this code into the service it is incident to, never onto its own line. The blank amount means unpriced, not $0.
Why is there no national PFS 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. Status B is not separately payable under the PFS.
About this code
Complex e/m visit add on
Payment considerations Copy link
Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.
Other payment indicators (10)
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.
Which billing rules and modifiers apply? Copy link
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.
Can you bill it with another code? Copy link
Check a pair of codes 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 for the pair.
Payment review for G2211 Copy link
G2211 is a separate line, not a percentage built into the office visit. Check the base visit and the add-on separately, using the rules and fee-schedule release in effect on the date of service.
What to check
- Confirm the base visit and G2211 were both priced with the same locality, setting, and release.
- Check the modifier 25 and preventive-service rules for the date of service; they changed after G2211 started paying separately.
- Whether the ongoing care relationship qualifies is a separate question from how much Medicare pays once the add-on applies.
Compare against 99213, 99214 and G0439: their amounts are in Related codes.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files; CMS FAQs about E/M visit complexity add-on HCPCS code G2211; CMS MLN Matters MM13473: how to use G2211.
How has it changed? Copy link
Rate history by release Copy link
National Office (non-facility) amount for G2211 across quarterly releases. +8.3% increase since Q1 2024 · peak $17.37 in Q1 2026
| Release | Status | Office | Facility |
|---|---|---|---|
| Q4 2026 Oct 1, 2026 – present | A | $17.37 (0.0% no change) | $14.36 (0.0% no change) |
| Q3 2026 Jul 1, 2026 – Sep 30, 2026 | 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 Mar 9, 2024 – Mar 31, 2024 | A | $16.31 (+1.7% increase) | $16.31 (+1.7% increase) |
| Q1 2024 Jan 1, 2024 – Mar 8, 2024 | A | $16.04 | $16.04 |
| 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.
When does this rate change?
CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.
The G2211 rate last moved in Q1 2026. See its rate history.
Sources: CMS Medicare Physician Fee Schedule Relative Value Files.
Usage and related codes Copy link
Who bills G2211 to Medicare
Observed CY2024 Medicare fee-for-service billing, by the rendering clinician's CMS specialty. Each share is that specialty's slice of all observed services for this code that year.
Setting split that year: 90% Office (non-facility) · 10% facility. CMS publishes only this facility vs non-facility split, never the exact place of service. The Office (non-facility) figure does not identify urgent care or any other specific setting.
CY2024 Medicare fee-for-service only, from the CMS Physician & Other Practitioners dataset, which suppresses rows under 11 beneficiaries. We omit specialty groups with fewer than 30 observed clinicians, so the shares can fall short of 100%. Specialty and practice-type pages linked elsewhere on this page are curated code lists, not utilization claims.
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Source & method
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This page uses CMS's Medicare Physician Fee Schedule Q2 2023 release (effective April 2023). National baselines use GPCI 1.000 and exclude sequestration. Whether a national amount exists depends on the status and CMS’s payment instructions; blank RVUs are never treated as zero. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. CMS owns the code description shown for HCPCS Level II codes. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.
Cite this rate
The citation names the release, so anyone can check it even after CMS publishes a newer one.
HCPCS G2211 National PFS baseline: No national PFS rate (Q2 2023; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU23B, PPRRVU23_APR.csv row 2,098. Localis. https://localishealth.com/hcpcs/G2211/2023/B