Office & outpatient visits

G2211 - RVUs & Medicare payment (2026)

Medicare add-on for visit complexity in continuing, longitudinal care.

Component	Non-facility	Facility
Work RVU	0.33	0.33
Practice expense RVU	0.17	0.08
Malpractice RVU	0.02	0.02
Total RVUs	0.52	0.43
National payment (CF $33.4009)	$17.37	$14.36
Qualifying APM payment (CF $33.5675)	$17.46	$14.43

How G2211 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for G2211 ranges from $16.24 in Arkansas (AR) to $22.95 in Alaska (AK); calculate G2211 for your locality.

Alaska (AK) $22.95 San Jose-Sunnyvale-Santa Clara (CA) $20.78 San Jose-Sunnyvale-Santa Clara (CA) $20.69 San Francisco-Oakland-Berkeley (CA) $20.38 San Francisco-Oakland-Berkeley (CA) $20.36 NYC Suburbs/Long Island (NY) $19.72 Napa (CA) $19.54 Vallejo (CA) $19.51 National average $17.37 … 97 more localities between … Iowa (IA) $16.48 Mississippi (MS) $16.40 Alabama (AL) $16.37 Arkansas (AR) $16.24

Non-facility payment for G2211 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: ZZZ

Add-on code: billed with a primary service and covered by the primary service’s global period.

Related codes - office & outpatient visits

99202 · office visit, new patient, level 2 (straightforward, 15-29 min)
99203 · office visit, new patient, level 3 (low complexity, 30-44 min)
99204 · office visit, new patient, level 4 (moderate complexity, 45-59 min)
99205 · office visit, new patient, level 5 (high complexity, 60-74 min)
99211 · office visit, established patient, level 1 (minimal, staff-level)
99212 · office visit, established patient, level 2 (straightforward, 10-19 min)
99213 · office visit, established patient, level 3 (low complexity, 20-29 min)
99214 · office visit, established patient, level 4 (moderate complexity, 30-39 min)
99215 · office visit, established patient, level 5 (high complexity, 40-54 min)
G2212 · medicare prolonged visit add-on, each additional 15 minutes

Frequently asked questions

How much does Medicare pay for G2211 in 2026?

The national non-facility payment is $17.37 and the facility payment is $14.36, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for G2211?

The 2026 work RVU for G2211 is 0.33. Total RVUs are 0.52 in the non-facility setting and 0.43 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.