HCPCS code G0248: Home INR training, monitor use demonstration2026 Medicare rate & RVUs

Reports a session demonstrating a home INR monitoring system and instructing a patient or caregiver in its use for qualifying Medicare coverage.

CMS RVU26DEffective Oct 1, 2026109 payment localities11.9K Medicare services in 2024

Medicare pays $105.55 for G0248 nationally in the office. Local office rates run $90.09–$150.69.

Medicare rate · G0248

Home INR training, monitor use demonstration

Office or facility?

Work RVUs
0
Total RVUs
3.16
Global days
XXX

National rate · 2026

$105.55

Office setting, before claim adjustments.

See every locality for G0248 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What G0248 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What G0248 covers

G0248 reports a session demonstrating a home INR monitoring system and instructing a patient or caregiver in its use. It is associated with home prothrombin-time/INR testing for a patient managed with warfarin. The demonstration may include showing how to use the system and obtain a test result. G0248 describes the training session, not the patient's recurring tests at home, the supply of testing equipment, or ongoing review of results.

Report the service per demonstration session and document who received the instruction, what monitor-use training was provided, and the clinical context supporting Medicare coverage. CMS classifies coverage as restricted, so payment is limited to specific circumstances. G0248 is technical-component-only; a separate code covers interpretation. G0249 addresses provision of home-testing equipment and materials, while G0250 addresses physician review and management of home INR results.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

Where G0248 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 payment localities

$90.09 to $150.69

$90.09$120.39$150.69
One dot per payment locality, office / nonfacility. Hover a dot to see the locality; select it to open that rate.

109 of 109 payment localities

G0248 office and facility rates by payment locality
Payment localityOfficeFacility
Alabama$91.84Unavailable
Alaska$111.55Unavailable
Arizona$102.09Unavailable
Arkansas$90.09Unavailable
Atlanta, GA$107.54Unavailable
Austin, TX$111.38Unavailable
Bakersfield, CA$114.87Unavailable
Baltimore area, MD$113.53Unavailable
Beaumont, TX$96.08Unavailable
Brazoria, TX$104.24Unavailable

G0248 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$90.09

$132.72

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
G0248 office rate range by state
State / territoryOffice rate rangeLocalities
AK$111.551
AL$91.841
AR$90.091
AZ$102.091
CA$114.74–$150.6929
CO$111.831
CT$113.901
DC$124.231
DE$104.131
FL$101.82–$112.363
GA$94.65–$107.542
GU$119.071
HI$119.071
IA$95.711
ID$96.361
IL$97.45–$109.644
IN$97.111
KS$94.751
KY$93.871
LA$93.53–$99.652
MA$110.71–$125.522
MD$106.66–$124.233
ME$96.61–$104.002
MI$96.72–$103.062
MN$107.381
MO$91.17–$100.563
MS$90.671
MT$105.541
NC$97.981
ND$104.551
NE$96.511
NH$109.601
NJ$115.27–$122.282
NM$97.261
NV$105.371
NY$99.86–$126.615
OH$96.521
OK$94.061
OR$104.64–$116.652
PA$96.94–$110.132
PR$106.661
RI$108.791
SC$97.401
SD$104.441
TN$95.321
TX$96.08–$111.388
UT$99.141
VA$103.29–$124.232
VI$106.661
VT$103.681
WA$110.65–$128.822
WI$100.031
WV$92.661
WY$105.111

How the G0248 rate is calculated

Each of G0248’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · G0248

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.00

0.00 RVUs× 1.000 GPCI

Practice expense3.11

3.11 RVUs× 1.000 GPCI

Malpractice0.05

0.05 RVUs× 1.000 GPCI

Adjusted RVUs

3.1600

Conversion factor

$33.4009

Medicare rate

$105.55

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

Payment rules and modifiers for G0248

The CMS indicators that decide how G0248 is paid alongside other services.

CMS payment indicators · G0248

Home INR training, monitor use demonstration

RuleCMS valueWhat it means
Global periodXXXThe global surgery concept doesn’t apply.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical3Technical component only.

G0248 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • G0248

    Home INR training, monitor use demonstration0 wRVU

    $105.55

  • G0249

    Home INR supplies, equipment and testing materials0 wRVU

    $65.80−$39.75

  • G0250

    INR management, home monitoring review0.18 wRVU

    $9.02−$96.53

  • 93792

    INR training, home monitor initiation0 wRVU

    $72.48−$33.07

How to choose

G0249Home INR suppliesEquipment and testing materials
Choose G0248 for a demonstration session and instruction in monitor use. Choose G0249 for provision of home INR testing equipment and materials.
G0250INR managementHome monitoring review
G0248 covers demonstration and instruction. G0250 addresses physician review and management of home INR test results.
93792INR trainingHome monitor initiation
93792 is the CPT code for training to initiate home INR monitoring. G0248 is the HCPCS Level II code; use the applicable code set.

G0248 billing questions

How does G0248 differ from G0249?

G0248 covers a demonstration session and instruction in using the home INR monitoring system. G0249 covers provision of home-testing equipment and materials.

Is G0248 reported for each home INR test?

No. G0248 is reported for a demonstration session, not for each test the patient performs at home.

Does G0248 include interpretation of the INR result?

No. G0248 is technical-component-only; a separate code covers interpretation. G0250 addresses physician review and management of home INR results.

What documentation supports G0248?

Document who received the instruction, the monitor-use training provided, and the clinical context supporting Medicare coverage.

Can every patient using warfarin receive Medicare payment for G0248?

No. Coverage is restricted, so payment is limited to specific circumstances.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for G0248PPRRVU2026_Oct_nonQPP.csv, line 15,148 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what G0248 pays?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put G0248 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist