List With HCPCS Codes For Evaluation and Care Management Services

The HCPCS codes for Evaluation and Care Management Services, G2211-G2214, cover a range of services related to medical care, including visit complexity, prolonged evaluation and management services, initiation of medication for opioid use disorder, and psychiatric collaborative care management.

1. HCPCS Code G2211

HCPCS G2211 describes the visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious condition or a complex condition.

2. HCPCS Code G2212

HCPCS G2212 covers prolonged office or other outpatient evaluation and management services beyond the maximum required time of the primary procedure, with each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact.

3. HCPCS Code G2213

HCPCS G2213 involves the initiation of medication for the treatment of opioid use disorder in the emergency department setting, including assessment, referral to ongoing care, and arranging access to supportive services.

4. HCPCS Code G2214

HCPCS G2214 represents the initial or subsequent psychiatric collaborative care management, specifically the first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional.