Edits to Prevent Payment of G2211 with Office/Outpatient Evaluation and Management Visit and CPT Modifier 25

Published 12/26/2023

Make sure your billing staff knows about complexity add-on HCPCS code G2211: Medicare pays separately starting January 1, 2024 and we don’t pay Method II Critical Access Hospitals on the same encounter for type of bill 85X. 


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