Detailed HCPCS G2211 practical application and discussion | John C. Lin, MD | Medical Coding.
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- Опубліковано 7 січ 2024
- Dr. John C. Lin answers questions and discusses the use of HCPCS code G2211 that is starting to be paid by Medicare on January 1, 2024.
1. Where can I find original source document regarding G2211?
2. What is the definition of G2211?
3. To which insurance does this code apply?
4. Should I bill this to my private payers?
5. Can I use this only in the private practice clinic?
6. Can non-primary care docs use G2211?
7. Can I bill this code alone?
8. Can I use this code when I conduct a telemedicine visit?
9. Can I use this when I code an E&M with a -25?
10. Can I use this when I code an E&M with a -24 / another payment modifier?
11. How much does this code pay?
12. Do we put the fee in our PM and charge or do we simply let CMS pay whatever they want?
13. Can an APP use this code in an incident-to E&M visit?
14. Can an APP use this outside of incident-to E&M visits?
15. Can code be used by QHP in the practice or is it going to be NPI specific?
16. Can I use this code for NEW (and established) patients?
17. Can I use G2211 in a post op visit (99024) within a global?
18. How often can I use this code?
19. What is CMS’s estimated initial utilization of G2211?
20. What is CMS’s long-term anticipated utilization when fully implemented?
21. How do I “document” a G2211 visit?
22. Should I start using G2211 now or should I wait until further clarification?
23. Who should record and report G2211?
24. For which urology situations can I use G2211?
25. Can you use this on initial visit for BPH?
26. For which urology conditions/situations should I not use G2211?
Additional video about G2211 including detailed source document discussion:
• HCPCS G2211 Defined an...
Dr. Lin practices at Sunrise Urology in Gilbert, Arizona.
www.SunriseUrology.com
He is a frequent speaker / presenter on urology coding and billing, and optimal practice strategies and tactics.
#G2211 #MedicalCoding #Urology
Thank you for this information!! Incredible!
I had a zoom visit with my provider that lasted 4 minutes. I was charged the initial diagnosis code for primary care and my insurance was charged over $400. I paid $25 for my copay, and then they added this additional code for that same appointment, where the doctor just continued my medication during our visit and now I pay $50 because my insurance charged me $25 more for the code. My copay means nothing now. Absolutely ABSURD! Providers should be ashamed of themselves. Healthcare is already unaffordable and now providers can charge more for having a relationship with their patient. Would you prefer we go to a different provider each time? Or just not get help for our health conditions in general? I've already contacted my legislators that passed this code to let them know how absolutely insane and ridiculous it is. A 4-minute ZOOM call. Disgusting.
my supervising urologist states that using this leads to an automatic review, 6 month delay and 50% acceptance rate so its not worth the effort. How would you respond to this claim?
My oncologist in Scottsdale added this fee the second zoom call we had. He has ordered an MRI and prescribed ONE medicine. That’s it. And yet they added $18.34 as the g2211 fee. I was livid as I had already paid a $100 copay. Many office personal could not figure out what the fee was for. Finally someone told me it was a “relationship” fee basically. I can’t believe it. I’m bleeding money and they want to charge me for having a relationship with me?? Can you tell me what exactly the money pays for. Does it pay for the office managing my account, for example seeing if something is in-network or out-of network? Would that be a part of longitudal relationship and managing patient care? Where can I find the code manual?
G2211 vs pronloged services confused ?
Such a vague code. You could basically use it in every pt ..for ex diabetics or hypersensitive pts