NGS Addresses Claim Denials Related to HCPCS Code G2211
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National Government Services (NGS) has reported an issue impacting Part B providers in Jurisdictions JK and J6 regarding claim denials for the HCPCS G2211 add-on code. The problem stems from a coding update on December 5, 2024, by the National Correct Coding Initiative. This update now requires HCPCS G0463 as the primary code for G2211, resulting in denials when G2211 is billed with CPT codes 99202-99205 and 99211-99215 for dates of service between January 1 and September 30, 2024, if processed after December 5, 2024.
NGS has reached out to the Centers for Medicare & Medicaid Services (CMS) for guidance on resolving the issue. Providers are advised that the NGS Provider Call Center cannot offer additional information at this time. Updates will be posted on the NGS website as they become available.
No immediate action is required from providers. Monitor NGS communications for updates on this issue and the timeline for resolution. For now, continue standard billing practices while awaiting further instructions.
