2025 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

TAGS: units meets testing provision tests monitoring thromboembolism results include chronic medicare coverage equipment occurring heart billing patient venous either mechanical reporting service materials atrial frequently
Short DescriptionProvide inr test mater/equip
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Code Added Date July 01, 2002
HCPCS Action Effective Date March 19, 2008
HCPCS Pricing Indicator Code 11 - Price established using national rvu's
HCPCS Type Of Service Code 5 - Diagnostic laboratory
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number 50.55

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