Skip to content
healthcare.dev

G2212

Prolong outpt/office vis

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2021-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/G2212 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "G2212",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Prolong outpt/office vis",
    "billable": true,
    "attributes": {
      "betos": "M5D",
      "coverage": "C",
      "action_code": "N",
      "type_of_service": "1",
      "pricing_indicator": "11",
      "action_effective_date": "2023-01-01"
    },
    "description": "Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2021-01-01",
    "care_categories": [
      "doctor-visits"
    ],
    "care_category_details": [
      {
        "slug": "doctor-visits",
        "name": "Doctor and clinic visits",
        "confidence": 0.95,
        "derivation": "source_stated",
        "evidence": [
          {
            "url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update",
            "anchor": "HCPCS Level II range G2211-G2212"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

G2212 in the HCPCS file

betos
M5D
coverage
C
action code
N
type of service
1
pricing indicator
11
action effective date
2023-01-01

Change history

Lifecycle

G2212 has been in effect since 2021-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up G2212 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/G2212 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code G2212. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.