G2211

E/M EstCMS status: A

Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition.

Outpatient IM Cardiology Endo GI Pulm Nephro Rheum ID Heme/Onc Neurology Allergy Geri / CCM

Work RVU

0.33

Practice RVU

0.17

Malpractice RVU

0.02

Total RVU

0.52

2026 Medicare payment

$17.37

National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility

Model this code

Drop G2211 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.

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When to use it

Add-on to office E/M (99202-99215) when you are the continuing focal point for all needed care (primary care) OR the ongoing care provider for a single serious/complex condition.

Documentation checklist

✓Documentation in the note that the visit relates to your role as the continuity provider.
✓A one-line statement is sufficient ('I am the continuity provider managing this patient's chronic conditions').
✓Standalone code — no patient consent needed.

Common pitfalls

!Billing G2211 on the same encounter as modifier 25 — explicitly prohibited.
!Billing G2211 for one-time consults or urgent care visits where you are not the continuity provider.
!Not billing it at all — Medicare estimates G2211 should be billed on ~38% of office E/Ms but capture rates remain under 5% in many practices.