Wiki G2211 w/pbb

[stacidavis20]

In a provider based billing setting where the provider bills his office visit and the facility bill the mirror EM. Can G2211 be added to the office visit on the PB side, if the patient had chemo the same day as the office visit where the infusion would be added to the HB side. This means the modifier 25 goes on the HB EM charge and not the PB charge. Anyone getting denials for this?

I was only able to find this MLN https://www.cms.gov/files/document/...anagement-visit-complexity-add-code-g2211.pdf

 

[csperoni]

There is certainly scant official advice on requirements of G2211. If the physician is only performing and billing for an E&M service 99211-99205, G2211 could be appropriate to add if they are longitudinally managing the complex condition.