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CMS Delays implementation of add-on Code G2211 until CY 2024

CMS Delays implementation of add-on Code G2211 until CY 2024

January 7, 2021
Alicia Shickle

CMS released a special edition – Physician Fee Schedule Update January 7, 2021. Included in this update are Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS) modifications which include:

  • Provided a 3.75% increase in MPFS payments for CY 2021
  • Suspended the 2% payment adjustment (sequestration) through March 31, 2021
  • Reinstated the 1.0 floor on the work Geographic Practice Cost Index through CY 2023
  • Delayed implementation of the inherent complexity add-on code for evaluation and management services (G2211) until CY 2024

The MPFS conversion factor for CY 2021 is 34.8931. CMS has recalculated the MPFS payment rates to reflect the changes. The revised rates are available for download in the PFS.

While providers will see a 3.75% increase in the MPFS payments, CMS is delaying the implementation of the inherent complexity add-on code for evaluation and management services (G2211) until CY 2024.

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