Urge CMS and Congress to Support Implementation of New Medicare Complexity Code, G2211

PA-ACP is calling on its internal medicine physicians to urge the Centers for Medicare and Medicaid Services (CMS) and Congress to support implementation of a new Medicare add-on code to support continuity and coordination of care.

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 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 both CMS and your members of Congress to express the need for the Medicare visit complexity code, G2211, to be implemented in 2024. Sample email messages to CMS and members of Congress are provided for you that includes space for you to personalize the letters.