Encore: Evaluation and Management: G2211 Add-on Complexity Questions and Answers 

We provided a webinar on 8/28/2024 to respond to attendee questions on the evaluation and management (E/M) Add-on Complexity Codes G2211. We provided a brief overview and provided the common rejections and denials. We responded to attendees’ questions.
This presentation was for physicians and non-physician practitioners and their staff submitting claims on a CMS-1500 form.
Survey
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Resources
CMS Medicare Claims Processing Manual, Chapter 12, Section 30.6.19 &
Section 100
www.cms.gov/re...
How to Use the Office & Outpatient Evaluation and Management Visit Complexity Add-on Code G2211
www.cms.gov/fi...
Edits to Prevent Payment of G2211 with Office/Outpatient Evaluation and Management Visit and Modifier 25
www.cms.gov/fi...
Modifier 25 Fact Sheet
med.wpsgha.com...
NCCI Procedure to Procedure Edits
www.cms.gov/me...