HCPCS code G2211: Visit complexity add-on, ongoing longitudinal patient relationship2026 Medicare rate & RVUs in Salinas, CA

Medicare add-on for office or outpatient E/M when the practitioner is the patient's continuing care focal point or manages a serious or complex condition over time.

CMS RVU26DEffective Oct 1, 2026One payment locality25M Medicare services in 2024

In Salinas, CA, Medicare pays $18.30 for G2211 in the office and $14.82 when it’s performed in a hospital or facility.

$18.30Office (non-facility)
$14.82Hospital or facility
+5.4%vs the national office rate ($17.37)

Check a contract rate as a % of Medicare · G2211 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open G2211 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Salinas, CA
  2. What G2211 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What G2211 covers

G2211 recognizes the extra cognitive work of being responsible for a patient over time, not the difficulty of a single encounter. It applies when the billing practitioner is the continuing focal point for all of the patient's needed services, as primary care physicians, nurse practitioners, and physician assistants typically are, or provides ongoing care for a single serious or complex condition. Examples include an endocrinologist managing a patient's diabetes or an infectious disease physician following a patient with HIV. It is reported for office and outpatient visits, including those furnished by telehealth.

Report one unit with a new or established patient office or outpatient E/M code (99202-99215). Documentation should support the longitudinal relationship, such as an ongoing care plan, chronic condition management, or the practitioner's role in coordinating the patient's care. The relationship can begin with a new patient visit when ongoing care is expected. It does not fit a one-time or time-limited episode. As an add-on, G2211 is billed only with its primary E/M and paid within that service's global period. It is generally not payable when the base E/M carries modifier 25, except when that visit is reported on the same day as an annual wellness visit, vaccine administration, or a Medicare Part B preventive service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Billing guides for G2211: G2211 add-on code

How Salinas, CA compares for G2211

Across 109 of 109 payment localities, the office rate for G2211 runs from $16.24 in Arkansas to $22.95 in Alaska. Salinas, CA pays $18.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

G2211 in Salinas, CA vs other payment areas
  1. Salinas, CA · this page$18.30
  2. Bakersfield, CA · California$17.86−$0.44
  3. Chico, CA · California$17.79−$0.51
  4. El Centro, CA · California$17.79−$0.51
  5. Fresno, CA · California$17.79−$0.51
  6. Hanford, CA · California$17.79−$0.51
  7. Los Angeles, CA · California$18.64+$0.34

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

G2211 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$17.79$14.50
Merced, CACalifornia$17.79$14.50
Modesto, CACalifornia$17.79$14.50
Napa, CACalifornia$19.54$15.58
Oxnard, CACalifornia$18.46$14.91
Redding, CACalifornia$17.79$14.50
Rest of CaliforniaCalifornia$17.79$14.50
Riverside, CACalifornia$18.01$14.72

G2211 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$16.24

$22.95

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G2211 office rate range by state
State / territoryOffice rate rangeLocalities
AK$22.951
AL$16.371
AR$16.241
AZ$17.101
CA$17.79–$20.7829
CO$17.721
CT$18.171
DC$19.051
DE$17.291
FL$17.45–$18.623
GA$16.88–$17.632
GU$17.871
HI$17.871
IA$16.481
ID$16.561
IL$17.25–$18.344
IN$16.611
KS$16.491
KY$16.681
LA$16.69–$17.122
MA$17.71–$18.852
MD$17.49–$19.053
ME$16.66–$17.072
MI$16.96–$17.632
MN$17.061
MO$16.57–$17.103
MS$16.401
MT$17.371
NC$16.751
ND$16.971
NE$16.521
NH$17.521
NJ$18.40–$19.022
NM$17.031
NV$17.261
NY$16.89–$19.725
OH$16.881
OK$16.611
OR$17.15–$18.002
PA$16.87–$17.932
PR$17.421
RI$17.691
SC$16.841
SD$16.921
TN$16.541
TX$16.81–$17.678
UT$16.961
VA$17.08–$19.052
VI$17.421
VT$16.981
WA$17.65–$19.092
WI$16.671
WV$16.911
WY$17.191

See G2211 in every payment locality

How the G2211 rate is calculated

Each of G2211’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · G2211

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.33

0.33 RVUs× 1.000 GPCI

Practice expense0.17

0.17 RVUs× 1.000 GPCI

Malpractice0.02

0.02 RVUs× 1.000 GPCI

Adjusted RVUs

0.5200

Conversion factor

$33.4009

Medicare rate

$17.37

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Salinas, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,526

Code
G2211
Physician work
0.33
Practice expense
0.17
Malpractice
0.02

GPCI2026.csv

22

Locality
Salinas, CA
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office calculation for G2211 in Salinas, CA
ComponentRVULocality factorAdjusted
Physician work0.33× 1.0310.3402
Practice expense0.17× 1.1590.1970
Malpractice0.02× 0.5360.0107
Total RVUs0.5480
Conversion factor× 33.4009

Office rate, Salinas, CA$18.30

Office: (0.33 × 1.031 + 0.17 × 1.159 + 0.02 × 0.536) × $33.4009 = $18.30

Facility: (0.33 × 1.031 + 0.08 × 1.159 + 0.02 × 0.536) × $33.4009 = $14.82

Open G2211 in the RVU calculator

Payment rules and modifiers for G2211

The CMS indicators that decide how G2211 is paid alongside other services.

CMS payment indicators · G2211

Visit complexity add-on, ongoing longitudinal patient relationship

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How G2211 has changed in Salinas, CA

G2211 · Office / nonfacility

$18.30

Effective 2026-10-01

The base rate is $1.99 higher than on 2025-10-01, moving from $16.31 to $18.30 (12.2%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $16.31changed to$18.30

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 0.13 changed to 0.17
    • Work GPCI 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $17.17changed to$16.31

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 0.14 changed to 0.13

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $16.89changed to$17.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    No ratechanged to$16.89

  5. April 1, 2021

    RVU21B

    No ratechanged toNo rate

    Held through RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D.

  6. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$18.30$14.82RVU26D
2026-07-01$18.30$14.82RVU26C
2026-04-01$18.30$14.82RVU26B
2026-01-01$18.30$14.82RVU26A
2025-10-01$16.31$16.31RVU25D
2025-07-01$16.31$16.31RVU25C
2025-04-01$16.31$16.31RVU25B
2025-01-01$16.31$16.31RVU25A
2024-10-01$17.17$17.17RVU24D
2024-07-01$17.17$17.17RVU24C
2024-04-01$17.17$17.17RVU24B
2024-03-09$17.17$17.17RVU24AR
2024-01-01$16.89$16.89RVU24A
2023-10-01Separate payment rules applySeparate payment rules applyRVU23D
2023-07-01Separate payment rules applySeparate payment rules applyRVU23C
2023-04-01Separate payment rules applySeparate payment rules applyRVU23B
2023-01-01Separate payment rules applySeparate payment rules applyRVU23A
2022-10-01Separate payment rules applySeparate payment rules applyRVU22D
2022-07-01Separate payment rules applySeparate payment rules applyRVU22C
2022-04-01Separate payment rules applySeparate payment rules applyRVU22B
2022-01-01Separate payment rules applySeparate payment rules applyRVU22A
2021-10-01Separate payment rules applySeparate payment rules applyRVU21D
2021-07-01Separate payment rules applySeparate payment rules applyRVU21C
2021-04-01Separate payment rules applySeparate payment rules applyRVU21B
2021-01-01Not in this releaseNot in this releaseRVU21A
2020-10-01Not in this releaseNot in this releaseRVU20D
2020-07-01Not in this releaseNot in this releaseRVU20C
2020-04-01Not in this releaseNot in this releaseRVU20B
2020-01-01Not in this releaseNot in this releaseRVU20A
2019-10-01Not in this releaseNot in this releaseRVU19D
2019-07-01Not in this releaseNot in this releaseRVU19C
2019-04-01Not in this releaseNot in this releaseRVU19B
2019-01-01Not in this releaseNot in this releaseRVU19A
2018-10-01Not in this releaseNot in this releaseRVU18D
2018-07-01Not in this releaseNot in this releaseRVU18C
2018-04-01Not in this releaseNot in this releaseRVU18B
2018-01-01Not in this releaseNot in this releaseRVU18AR1
2017-10-01Not in this releaseNot in this releaseRVU17D
2017-07-01Not in this releaseNot in this releaseRVU17C
2017-04-01Not in this releaseNot in this releaseRVU17B
2017-01-01Not in this releaseNot in this releaseRVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price G2211 for an earlier date of service

Where the Salinas, CA rate applies

Salinas, CA is a Medicare payment area, not a city. Our Census mapping connects it to 30 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Salinas
  • G2211 in Aromas · multiple payment areas
  • Boronda
  • Bradley
  • Carmel Valley Village
  • Carmel-by-the-Sea
  • Castroville
  • Chualar

Browse all communities in California

G2211 billing questions

Does G2211 require the visit itself to be of high complexity?

No. The add-on reflects the ongoing relationship and the practitioner's responsibility for the patient's care over time, so it can accompany a straightforward or low-complexity visit if the longitudinal criteria are met.

Which primary codes can G2211 be reported with?

It is reported with office and outpatient E/M codes 99202-99215, for both new and established patients. It cannot be billed on its own.

Can G2211 be billed when the E/M has modifier 25?

Generally no. CMS allows it with a modifier 25 E/M when that visit occurs on the same day as an annual wellness visit, vaccine administration, or a Medicare Part B preventive service, but not when the separate service is a minor procedure.

Can specialists report G2211?

Yes, when the specialist provides ongoing care for a single serious or complex condition, such as a rheumatologist managing rheumatoid arthritis. A one-time consultative visit or a short episode of care does not qualify.

Can G2211 and G2212 be reported on the same claim?

Yes. When a 99205 or 99215 visit meets the time threshold for Medicare prolonged services and the longitudinal criteria are met, both add-ons may be reported with the same base visit.

Does patient cost-sharing apply to G2211?

Yes. Medicare deductible and coinsurance apply to G2211 as they do to the base office visit.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for G2211PPRRVU2026_Oct_nonQPP.csv, line 15,526 (RVU26D)
Geographic factors for Salinas, CAGPCI2026.csv, line 22 (RVU26D)

Open CMS sourceHow we calculate rates

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