CPTCodeCalculator
E/MAdd-on2026 Compliant

CPT G2212

2026 Billing Guide

Prolonged Services (Medicare)

Reimbursement

$35.40

Threshold

15m

2026 Status

Active

What is CPT Code G2212?

CPT G2212 is defined as: A Medicare-specific HCPCS code used to report prolonged office or other outpatient evaluation and management (E/M) services. This code is used for each additional 15 minutes of total time spent by the physician or other qualified health care professional (QHP) on the date of the encounter, beyond the maximum time threshold of the primary E/M codes 99205 or 99215.

This code is primarily used for E/M services. It falls under the category of HCPCS Level II / E/M and is valid for the 2026 calendar year according to the CMS Physician Fee Schedule.

2026 RVU Components

Relative Value Units (Non-Facility)

Standard Formula Applied

Work RVU

0.61

Physician Effort

PE (Non-Fac)

0.41

Practice Expense

Malpractice

0.04

Risk Factor

Total RVU

1.06

Note: [(Work RVU * Work GPCI) + (PE RVU * PE GPCI) + (MP RVU * MP GPCI)] * Conversion Factor

2026 CMS Policy Intelligence

efficiency shield

Strategically exempt from the -2.5% efficiency adjustment. As a time-based E/M service, CMS has maintained the Work RVU of G2212 to ensure providers are equitably compensated for intensive clinical effort.

cpt divergence

In 2026, the delta between CPT (99417) and CMS (G2212) time thresholds remains a critical audit area for revenue cycle managers.

conversion factor

Utilizes the 2026 Non-QP rate of $33.40.

Administrative Framework

Place of Service

11 (Office)22 (Outpatient Hospital)

NCCI Exclusions

Do not bill with:99417 (CPT equivalent - Medicare does not recognize 99417)99354-99357 (obsolete)

Key Modifiers

N/AAdd-on code; modifiers like 25 are applied to the primary E/M, not the add-on.

Required Primary Codes

Must be billed alongside a primary service.

Operational Requirements

time threshold 99205

For a NEW patient, G2212 can only be billed once the total time reaches 89 minutes (74 mins max for 99205 + 15 mins for first unit of G2212).

time threshold 99215

For an ESTABLISHED patient, G2212 can only be billed once the total time reaches 69 minutes (54 mins max for 99215 + 15 mins for first unit of G2212).

medicare only

This code is strictly for Medicare and payers that follow Medicare rules. Most commercial payers use CPT 99417 instead.

included activities

Includes all time spent by the provider on the date of the encounter, including non-face-to-face time (e.g., record review, coordination of care).

Compliance Checklist

Detailed time tracking (cumulative for the month).
Specific clinical decision-making documentation.
Electronic care plan availability and access log.

Audit Defense

No specific audit defense elements defined.

2026 Update

Exempt from the mandatory -2.5% efficiency cut. Use for Medicare claims instead of CPT 99417.

Common Clinical Scenarios

No clinical examples provided.

Target Specialties & Utilization

OncologyNeurologyGeriatricsCardiology

Typical Clinical Indications (ICD-10)

C80.1 (Malignant (primary) neoplasm, unspecified)F03.90 (Dementia, unspecified, without behavioral disturbance)I50.9 (Heart failure, unspecified)

Frequently Asked Questions

Maximize Revenue with AI Confidence

Stop leaving earned revenue on the table. CPT Copilot (Coming Soon) automatically handles the complexity of 2026 CMS policies, identifying every opportunity while ensuring 100% compliance.