Clarifying +G2211

Question:

My question is whether +G2211 is appropriate for vascular surgeons. Since the code has now been implemented, I’m wondering if it’s considered appropriate for those of us who manage long-term vascular patients over several years to use this add-on code until further guidance or changes occur.

Answer:

The add-on code +G2211 is not restricted by specialty and may be reported by any provider when the visit meets the required criteria. However, many interpretations suggest that the intent of the code is more closely aligned with primary care and the ongoing, relationship-based management of chronic or complex conditions, rather than procedural or single-episode care.

To use +G2211, the encounter must involve an office or outpatient E/M service (99202–99215) and reflect longitudinal or continuous care for a serious or complex condition. Documentation should support that the provider serves as a continuing focal point in the patient’s management and that the care provided extends beyond routine or acute treatment.

Because the code allows interpretive flexibility, its use in procedural specialties may carry a higher risk of audit or scrutiny.

*This response is based on the best information available as of 11/06/25.