G2211 was introduced in 2024 to reflect the complexity of longitudinal evaluation and management care. However, home visits were originally excluded from its use. Over the past two years, the Academy—through the work of our Public Policy Committee and the support of our members—advocated strongly to correct this oversight.

Here is an important update home-based providers need to know:

What’s changed

• As of January 1, 2026
• HCPCS add-on code G2211 may be billed with home or residence E/M visits (99341–99350)
• This update corrects a prior policy gap and recognizes the complexity of home-based care

Financial impact

• ~$15 additional reimbursement per qualifying home visit
• Roughly 10% increase in Medicare fee-for-service payment
• Proper use of G2211 can help prevent under-billing
• Amount is regionally adjusted

Who should prepare

• Providers managing primary care
• Clinicians coordinating care for complex or homebound patients
• Practices focused on sustainable home-based care delivery

Billing reminders

• Bill G2211 only with 99341–99350
• Documentation must show ongoing relationship and complexity
• Not appropriate for episodic or one-time visits

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