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ASAM Urges Congress to Support CMS' Implementation of Add-On Billing Code Recognizing the Inherent Costs Incurred with Treating Chronic Conditions
ASAM signed a letter sent by a broad coalition of health care clinicians, patient advocates, and other stakeholders, on September 7th to Congressional leaders, which urged them to support the Centers for Medicare and Medicaid Services' (CMS) proposal to implement a Medicare billing code, known as G2211, in 2024. CMS finalized this add-on code in the 2021 Medicare Physician Fee Schedule (MPFS) final rule, which would be billed with codes of office/outpatient evaluation and management (E/M) visits to better recognize the inherent resource costs clinicians incur when managing a patient's health longitudinally or treating a single, serious, or complex chronic conditions. The code will support the establishment of meaningful, consistent, and continuous patient-clinician relationships, and thus support beneficiaries' access to high-quality, patient centered care.