HCPCS Code G2212: Prolonged office/outpatient E/M service add-on (per 15 minutes)

Learn how to properly use and bill for HCPCS code G2212 from our short guide that has a list of the code's documentation and billing requirements.

Use Code

Frequently asked questions

Calculate total clinician time. Subtract the base code maximum. Divide the surplus by 15. Use only full 15-minute increments. E.g., 105 minutes total with 99205 (max 74 minutes) results in 31 minutes beyond—thus 2 units of G2212.

No. While they describe the same prolonged service for office/outpatient E/M visits, G2212 is the code generally required by CMS/Medicare, while 99417 is the CPT code often preferred by commercial and private payers for the same service. Providers should verify the preferred code with each payer.

Yes. CMS allows both face-to-face and non-face-to-face time by the reporting practitioner on the same date to count toward G2212, as long as documentation is detailed and the primary E/M code was based on time.