Background: On July 13, 2023, CMS released the Calendar Year (CY) 2024 Physician Fee Schedule (PFS) proposed rule which includes implementation of the G2211 code on January 1, 2024. The code was originally slated for implementation on January 1, 2022, but was delayed by Congress until January 1, 2024.

G2211 is a Medicare-specific add-on code designed to address the complexity inherent in office and outpatient evaluation and management (E/M) services. Recognizing that some office outpatient E/M visits are more complex and comprehensive than other E/M visits, CMS created this code to better describe or reflect the resources and additional costs associated with furnishing comprehensive, longitudinal primary care, such as the time, intensity, and practice expense involved in providing comprehensive, patient-centered care that integrates the prevention and treatment of illness or injury, management of acute and chronic health conditions, patient education, shared decision-making, and coordination of specialty care. 

Implementation of G2211 will allow physicians to account for services like chronic disease management tracking, review of consultative or diagnostic reports, medication monitoring, safety outside of patient visits, and physician input at assisted living or nursing homes.

Action Requested: Please use this alert to email your members of Congress to express the need for the Medicare visit complexity code, G2211, to be implemented in 2024. A sample email message to members of Congress is provided for you that includes space for you to personalize the letter. 

Please contact Shuan Tomlinson at stomlinson@acponline.org with any questions about this campaign. Thank you for your continued advocacy.