G2212
Prolong outpt/office vis
Medicare prolonged office/outpatient E/M add-on.
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.
Billing guidance for G2212 is locked
- When to use it: the exact clinical situations that support billing G2212
- Documentation checklist: the 3 elements your note needs before submitting
- Common pitfalls: the 2 mistakes that get G2212 downcoded or denied
Payer notes
Medicare recognizes G2212 with eligible prolonged office services and qualifying cognitive assessment 99483. Each base service has its own time requirements; do not apply an office threshold to cognitive assessment. Other payers may use CPT prolonged-service rules.
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 G2212 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.