G2211

Office or outpatient E&M service, established patient, add-on code for complexity inherent to visit

Service

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Code Details

Code G2211

Category Service

Medicare Pricing

PFS

2025 National Rate

$15.53

Facility

$15.53

Non-Facility

$15.53

RVU Breakdown

Work RVU:0.33PE RVU:0.13MP RVU:0.02Total RVU:0.48CF:$32.3465Global Days:ZZZ

OPPS Details

Status:BCopayment:$0.00

ⓘ Physician Fee Schedule: Medicare pays physicians based on Relative Value Units (RVUs) multiplied by a conversion factor.

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Frequently Asked Questions

What is CPT code G2211?

CPT G2211 is the billing code for "Office or outpatient E&M service, established patient, add-on code for complexity inherent to visit". It falls under the Service category and is used by healthcare providers to bill insurance for this specific service.

How much does Medicare pay for CPT G2211?

Medicare pays approximately $15.53 for CPT G2211 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.