Denials for HCPCS G2211
Part B providers in Jurisdiction JK and Jurisdiction J6
Description of Issue
NCCI editing for HCPCS G2211 code was updated on 12/05/2024 to require HCPCS G0463 as the primary code for G2211 add-on code. This has resulted in denials of claims for the add-code G2211 when billed with CPTs 99202-99205 and 99211-99215. Impacted claims are for DOS 1/1/2024-9/30/2024 when processed on or after 12/5/2024.
National Government Services Action
NGS is fully aware of the issue and has reached out to CMS for instructions. The NGS Provider Call Center has no additional information on these claim denials and calls to the call center on this topic will yield no additional information.
NGS will post additional information on these claims when available.
Provider Action
No provider action is indicated. Please continue to monitor this site for further updates.
Proposed Resolution/Fix
TBD