kbrandt101
Contributor
G2211 is the new code for “Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious condition or a complex condition. (Add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established).”
Additionally: “This proposed valuation accounts for the additional work resource costs associated with furnishing primary care that distinguishes E/M primary care visits from other types of E/M visits and maintains work budget neutrality across the office/outpatient E/M code set."
So what qualifies as complexity inherent? I understand that it's for long term chronic conditions but what would need to be documented to support the coding/use of G2211? Can someone provide clarification or context to best understand when this code should be applied above and beyond the Office Visit?
Additionally: “This proposed valuation accounts for the additional work resource costs associated with furnishing primary care that distinguishes E/M primary care visits from other types of E/M visits and maintains work budget neutrality across the office/outpatient E/M code set."
So what qualifies as complexity inherent? I understand that it's for long term chronic conditions but what would need to be documented to support the coding/use of G2211? Can someone provide clarification or context to best understand when this code should be applied above and beyond the Office Visit?