New Coding Resource for Utilizing CPT Code G2211

The AAHKS Health Policy Council developed a primer to help members understand the add-on code G2211, which went into effect Jan. 1, 2024. While CMS intended this code primarily for use by primary care providers, this code may be applied by any clinician who bills Medicare when the proper conditions are met. For the orthopaedic surgeon, G2211 can apply at an outpatient office evaluation and management (E/M) visit when providing “medical care services that are part of ongoing care related to a patient’s single, serious condition or complex condition.” When this code is used, it is reimbursed at 0.33 wRVUs in addition to the E/M billing without any additional documentation requirements. This primer provides an in-depth explanation of what code G2211 is and how to apply it to your practice.