HCPCS code G0249
Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests
What G0249 means
G0249 (Provide inr test mater/equip) belongs to the HCPCS Level II G series (Procedures / Professional Services (Temporary)). Its Medicare coverage status is Special coverage instructions apply. Review the relevant Medicare manual or National Coverage Determination before billing.
Part B pricing: Price established using national RVU's.
Code details
- Short description
- Provide inr test mater/equip
- Coverage code
- D = Special coverage instructions apply
- Pricing indicator
- 11 = Price established using national RVU's
- Multiple pricing indicator
- A = Not applicable as HCPCS priced under one methodology
- Type of service
- 5 = Diagnostic laboratory
- Action code
- N = No maintenance for this code
- Action effective date
- March 19, 2008
- Code added date
- July 01, 2002
- Data year
- 2026
Questions about G0249
What is HCPCS code G0249?
HCPCS code G0249 is a Level II code in the G series (Procedures / Professional Services (Temporary)). Its full description is: "Provision of test materials and equipment for home inr monitoring of patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials, billing units of service include 4 tests"
Is G0249 a CPT code?
No. G0249 is a HCPCS Level II code maintained by CMS, not a CPT (Level I) code from the American Medical Association. People often search for it as a CPT code because both code sets are reported on the same claims.
Does Medicare cover HCPCS code G0249?
The Medicare coverage code for G0249 is "Special coverage instructions apply". Review the relevant Medicare manual or National Coverage Determination before billing.
When was HCPCS code G0249 added?
G0249 was added to the HCPCS code set on July 01, 2002. The most recent action on it (No maintenance for this code) took effect on March 19, 2008.
Nearby G codes
All G codes- G0239Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles, two or more individuals (includes monitoring)
- G0245Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear and (4) patient education
- G0246Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot and toe web spaces, (b) evaluation of protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (3) patient education
- G0247Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include, the local care of superficial wounds (i.e. superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails
- G0248Demonstration, prior to initiation of home inr monitoring, for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria, under the direction of a physician; includes: face-to-face demonstration of use and care of the inr monitor, obtaining at least one blood sample, provision of instructions for reporting home inr test results, and documentation of patient's ability to perform testing and report results
- G0250Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests
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- G0255Current perception threshold/sensory nerve conduction test, (snct) per limb, any nerve
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