Office & outpatient visits

G2212 - RVUs & Medicare payment (2026)

Medicare prolonged visit add-on, each additional 15 minutes.

Component	Non-facility	Facility
Work RVU	0.61	0.61
Practice expense RVU	0.36	0.16
Malpractice RVU	0.05	0.05
Total RVUs	1.02	0.82
National payment (CF $33.4009)	$34.07	$27.39
Qualifying APM payment (CF $33.5675)	$34.24	$27.53

How G2212 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 G2212 ranges from $31.56 in Arkansas (AR) to $44.29 in Alaska (AK); calculate G2212 for your locality.

Alaska (AK) $44.29 San Jose-Sunnyvale-Santa Clara (CA) $40.85 San Jose-Sunnyvale-Santa Clara (CA) $40.62 San Francisco-Oakland-Berkeley (CA) $40.03 San Francisco-Oakland-Berkeley (CA) $39.97 NYC Suburbs/Long Island (NY) $39.08 Napa (CA) $38.35 Manhattan (NY) $38.30 National average $34.07 … 97 more localities between … Iowa (IA) $32.04 Mississippi (MS) $31.96 Alabama (AL) $31.84 Arkansas (AR) $31.56

Non-facility payment for G2212 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

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)
G2211 · medicare add-on for visit complexity in continuing, longitudinal care

Frequently asked questions

How much does Medicare pay for G2212 in 2026?

The national non-facility payment is $34.07 and the facility payment is $27.39, 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 G2212?

The 2026 work RVU for G2212 is 0.61. Total RVUs are 1.02 in the non-facility setting and 0.82 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.