G2211, the office-visit complexity add-on for longitudinal care, stops being a separate line in 2027. CMS is converting it into a modifier, B1, appended to the E/M code. Instead of a flat add-on amount, B1 increases payment for that E/M by 16%. A second modifier, B2, is available only to practitioners in a Medicare Shared […]

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Starting January 1, 2027, when a separately identifiable office or outpatient E/M visit is billed on the same day as a 0-day global procedure by the same physician or the same practice, Medicare pays the higher-valued service at 100% and the other at 80%. Modifier 25 still gets the visit through the edit. It no […]

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