HCPCS code G2211: Visit complexity add-on, ongoing longitudinal patient relationship2026 Medicare rate & RVUs in Suburban Chicago, IL

In Suburban Chicago, IL, Medicare pays $18.11 for G2211 in the office and $15.03 when it’s performed in a hospital or facility.

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.

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.

How Suburban Chicago, IL 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. Suburban Chicago, IL pays $18.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

G2211 rates by state

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

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.

Payment rules and modifiers for G2211

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

Codes related to G2211

Related codes aren’t interchangeable: bill the code that matches the service performed.

How G2211 has changed in Suburban Chicago, IL

Price G2211 for an earlier date of service

Where the Suburban Chicago, IL rate applies

Suburban Chicago, IL is a Medicare payment area, not a city. Our Census mapping connects it to 178 cities and communities in Illinois. Some span more than one payment area; confirm with the service ZIP.

• G2211 in Chicago · multiple payment areas
• Addison
• G2211 in Algonquin · multiple payment areas
• Andres
• Antioch
• Arbury Hills
• G2211 in Aurora · multiple payment areas
• Bannockburn

Browse all communities in Illinois

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

Open CMS sourceHow we calculate rates