G2211
Complex e/m visit add on
Visit complexity add-on for eligible longitudinal care, including qualifying home or residence visits beginning in 2026.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
Review Medicare's G2211 modifier-25 exceptions for qualifying preventive services, with same-day examples and documentation checks.
Review G2211 care relationships, eligible settings, team coverage and same-day service limits using current CMS guidance.
Billing guidance for G2211 is locked
- When to use it: the exact clinical situations that support billing G2211
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 3 mistakes that get G2211 downcoded or denied
Payer notes
Medicare recognizes eligible office/outpatient and home/residence base codes. Other payer coverage should be verified.
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what G2211 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.