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In this episode of Practice Perfect, Jennifer McNamara dives into the CMS G2211 complexity add-on code—specifically how it applies (or doesn’t!) to specialty practices. Whether you’re in orthopedics, ENT, plastics, or any other niche, we’ll unpack CMS’s intent, share real-world scenarios, and give you actionable tips to document and bill confidently.
What is G2211?
A quick refresher on the 2024 complexity add-on for longitudinal care and complex decision-making.
Specialty Scenarios
How CMS’s guidance plays out in orthopedics vs. general surgery vs. other specialties.
Documentation Must-Haves
What language drives approval—and what red flags to avoid.
Billing Best Practices
Reminder: as of 2025, you can bill G2211 with an AWV using modifier 25—here’s how to do it right.
By Jennifer McNamaraIn this episode of Practice Perfect, Jennifer McNamara dives into the CMS G2211 complexity add-on code—specifically how it applies (or doesn’t!) to specialty practices. Whether you’re in orthopedics, ENT, plastics, or any other niche, we’ll unpack CMS’s intent, share real-world scenarios, and give you actionable tips to document and bill confidently.
What is G2211?
A quick refresher on the 2024 complexity add-on for longitudinal care and complex decision-making.
Specialty Scenarios
How CMS’s guidance plays out in orthopedics vs. general surgery vs. other specialties.
Documentation Must-Haves
What language drives approval—and what red flags to avoid.
Billing Best Practices
Reminder: as of 2025, you can bill G2211 with an AWV using modifier 25—here’s how to do it right.