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January 26, 2024

New Physician Fee Schedule Code on Evaluation and Management

On January 1, 2024, CMS began the process of finalizing the implementation of a separate add-on payment for the healthcare common procedure coding system (HCPCS) code G2211.  This new code will be used for resource costs associated with evaluation and management visits for primary care and longitudinal care. Additionally, this code will be applicable for outpatient and office visits as an additional payment. 

CMS believes that this additional code will aid physicians as it recognizes that clinicians are often the focal point for all needed services or are a part of the ongoing care related to a patient’s treatment. Ultimately, CMS predicts that this code will have redistributive impacts on all of the other CY2024 payments under the Medicare Physician Fee Schedule, but such impacts are expected to be low.

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