02/14/2024

ASCO Coding Tip of the Month: February 2024

Effective January 1, 2024, the visit complexity add-on code is effective for payment under the Medicare Physician Fee Schedule. According to a recent ASCO in Action article, depending on the level of service reported a provider may see visit reimbursement increase from 7.3% to 69%.  

G2211: Visit complexity add-on code for an office and/or outpatient evaluation and management service

The billing practitioner must provide ongoing medical care acting as a continuing focal point of all needed healthcare services AND/OR as part of care related to a single, serious, or complex condition, like cancer.  See the visit complexity add-on code resource below for more information.