Blue Cross Blue Shield of North Dakota (BCBSND) has started to see inquiries regarding reimbursement for CPT code G2211 (Complex E/M visit add on). As indicated on the Jan. 1, 2024 Physician Payment Schedule (PPS) Addendums, this code is considered non-payable. That code was inadvertently omitted from the July 1, 2024, and Jan. 1, 2025 external PPS Fee Schedules.
The Jan. 1, 2025, PPS Fee Schedules (January Contracted Providers and Medicaid Expansion) were updated to add CPT code G2211 as non-payable. The July 1, 2025, PPS Fee Schedules, for providers contracted in July, will include CPT code G2211, as non-payable, as well. This update does not impact claims processing as it was just omitted from the external fee schedules but was loaded into our system correctly.
The fee schedules are available for download on BCBSND's Online Fee Schedule Portal.
Please note, the portal for the online fee schedule requires activity every 120 days. If an account has been inactive for more than 120 days, the account will be disabled. If your account has been disabled due to inactivity or if you are experiencing log-in issues, please contact Support Services at 800-544-8467 during the hours of 8 a.m. – 4:30 p.m. (Central Time) or by email at portals@bcbsnd.com.
If you do not have an account and would like access to BCBSND’s fee schedules, please visit https://feeschedule.bcbsnd.com/FeeSchedule/
For questions regarding fee schedules, please email FeeSchedules@bcbsnd.com.
