With increasing discussion about the usage of G2211 brewing on SOAPM, at two consecutive chapter meetings (FL, NJ), and SOAPM, I thought I'd provide a real-time update about actual, real pediatric usage of this new an interesting CPT code.
Before you get the data, however, I want to draw your attention to this free webinar: "A Novel Approach to the Diagnosis and Management of T1D in Children." The topic of T1D is newly important to me for familial reasons and I have joined the chorus of voices drawing attention to this condition.
Back to the data. For the first three months of the year, 25% of our clients used the G2211 code. The average charge was ~$39 and the average payment was $8.50. The clients, over that 3 month period, averaged 280 units each. Remember, that average payment includes all the $0/non-coverage payments. When it IS paid, it's closer to $16.
Since then, however, usage has grown. The average charge is still ~$39, and it looks like the payment is roughly the same. However, the volume has increased significantly to roughly 650 units each. And we're up to 60% of PCC clients actively using the code.
Punchline: More and more practices are using the code that the payors want you to stop using. The G2211 was designed for pediatricians, has RVUs, and is designed to drive income to PCPs. That's you. Start billing this code, now.