Primary Care: G2211 in 2026. Are You Using It Correctly — or Leaving Chronic Care Revenue on the Table?

Section analysis by Lilit Muradyan, Billing Department, WCH

Editorial note: This article draws on the CY 2024, CY 2025, and CY 2026 Medicare Physician Fee Schedule final rules, CMS’s HCPCS G2211 FAQ, MLN Matters MM13272 and the CR 13705/CR 13753 modifier-25 exception updates, the CY 2027 MPFS proposed rule, AAFP/FPM coding commentary, and the Ganguli et al. (JAMA) and Smith et al. (Annals of Internal Medicine) claims-data studies on G2211 utilization, current through September 2026. It is for informational and educational purposes only and does not constitute legal, coding, or compliance advice. Payer-specific requirements should be verified against current CMS guidance and payer policy before billing.