G2211 Medicare Reimbursement Rate (2026)

For 2026, the estimated National Average Medicare payment for G2211 is $17.37 in a non-facility (office) setting and $14.36 in a facility (hospital/outpatient) setting. Your actual reimbursement depends on locality adjustments.

This code’s RVU components (Work, Practice Expense, and Malpractice) combine to approximately 0.52 total RVUs in the office setting and 0.43 total RVUs in the facility setting.

Description: Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care.... For locality-adjusted estimates, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.

Medicare often publishes two payment rates for the same code: a **non-facility** rate (typically used when the service is performed in a private office where the clinician bears more overhead) and a **facility** rate (typically used when performed in a hospital or facility where the facility bills separately for its costs).

Because the practice expense portion of RVUs differs by setting, the non-facility and facility payment amounts can be different. For locality-adjusted estimates in 2026, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.