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

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, 2026One payment locality11.9K Medicare services in 2024

In Delaware, Medicare pays $104.13 for G0248 in the office.

$104.13Office (non-facility)
Not available in this settingHospital or facility
−1.3%vs the national office rate ($105.55)

Check a contract rate as a % of Medicare · G0248 nationwide

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

We’ll open G0248 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What G0248 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. 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.

How Delaware compares for G0248

Across 109 of 109 payment localities, the office rate for G0248 runs from $90.09 in Arkansas to $150.69 in San Benito County, CA. Delaware pays $104.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

G0248 in Delaware vs other payment areas
  1. Delaware · this page$104.13
  2. Los Angeles, CA · California$124.00+$19.87
  3. Washington, DC area · District of Columbia$124.23+$20.10
  4. Miami, FL · Florida$112.36+$8.23
  5. Chicago, IL · Illinois$108.23+$4.10
  6. Manhattan, NY · New York$123.35+$19.22
  7. Alaska · Alaska$111.55+$7.42

Other areas in Delaware first, then benchmark localities. Bars start at $0.

Every other payment area

G0248 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$91.84—
ArkansasArkansas$90.09—
ArizonaArizona$102.09—
Bakersfield, CACalifornia$114.87—
Chico, CACalifornia$114.74—
El Centro, CACalifornia$114.75—
Fresno, CACalifornia$114.74—
Hanford, CACalifornia$114.74—

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

See G0248 in every payment locality

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.

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

15,148

Code
G0248
Physician work
0.00
Practice expense
3.11
Malpractice
0.05

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for G0248 in Delaware
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0050.0000
Practice expense3.11× 0.9883.0727
Malpractice0.05× 0.8990.0450
Total RVUs3.1176
Conversion factor× 33.4009

Office rate, Delaware$104.13

Office: (0 × 1.005 + 3.11 × 0.988 + 0.05 × 0.899) × $33.4009 = $104.13

Open G0248 in the RVU calculator

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.

How G0248 has changed in Delaware

G0248 · Office / nonfacility

$104.13

Effective 2026-10-01

The base rate is $8.24 higher than on 2025-10-01, moving from $95.89 to $104.13 (8.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
  1. January 1, 2026

    RVU26A

    $95.89changed to$104.13

    • Conversion factor 32.3465 changed to 33.4009
    • Practice expense RVU 2.95 changed to 3.11
    • Malpractice RVU 0.04 changed to 0.05
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $99.01changed to$95.89

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.96 changed to 2.95

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $97.39changed to$99.01

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $99.21changed to$97.39

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.87 changed to 2.96
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949
  5. January 1, 2023

    RVU23A

    $67.42changed to$99.21

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 1.87 changed to 2.87
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $67.98changed to$67.42

    • Conversion factor 34.8931 changed to 34.6062

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $60.43changed to$67.98

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.62 changed to 1.87
    • Malpractice RVU 0.02 changed to 0.04
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $74.25changed to$60.43

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.00 changed to 1.62
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $91.78changed to$74.25

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.48 changed to 2.00

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $113.72changed to$91.78

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.07 changed to 2.48
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $115.95changed to$113.72

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.12 changed to 3.07
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $116.37changed to$115.95

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $115.79changed to$116.37

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $114.84changed to$115.79

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.08 changed to 3.12
    • Malpractice RVU 0.01 changed to 0.02
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $118.87changed to$114.84

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.34 changed to 3.08
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $118.87

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$104.13Not available in this settingRVU26D
2026-07-01$104.13Not available in this settingRVU26C
2026-04-01$104.13Not available in this settingRVU26B
2026-01-01$104.13Not available in this settingRVU26A
2025-10-01$95.89Not available in this settingRVU25D
2025-07-01$95.89Not available in this settingRVU25C
2025-04-01$95.89Not available in this settingRVU25B
2025-01-01$95.89Not available in this settingRVU25A
2024-10-01$99.01Not available in this settingRVU24D
2024-07-01$99.01Not available in this settingRVU24C
2024-04-01$99.01Not available in this settingRVU24B
2024-03-09$99.01Not available in this settingRVU24AR
2024-01-01$97.39Not available in this settingRVU24A
2023-10-01$99.21Not available in this settingRVU23D
2023-07-01$99.21Not available in this settingRVU23C
2023-04-01$99.21Not available in this settingRVU23B
2023-01-01$99.21Not available in this settingRVU23A
2022-10-01$67.42Not available in this settingRVU22D
2022-07-01$67.42Not available in this settingRVU22C
2022-04-01$67.42Not available in this settingRVU22B
2022-01-01$67.42Not available in this settingRVU22A
2021-10-01$67.98Not available in this settingRVU21D
2021-07-01$67.98Not available in this settingRVU21C
2021-04-01$67.98Not available in this settingRVU21B
2021-01-01$67.98Not available in this settingRVU21A
2020-10-01$60.43Not available in this settingRVU20D
2020-07-01$60.43Not available in this settingRVU20C
2020-04-01$60.43Not available in this settingRVU20B
2020-01-01$60.43Not available in this settingRVU20A
2019-10-01$74.25Not available in this settingRVU19D
2019-07-01$74.25Not available in this settingRVU19C
2019-04-01$74.25Not available in this settingRVU19B
2019-01-01$74.25Not available in this settingRVU19A
2018-10-01$91.78Not available in this settingRVU18D
2018-07-01$91.78Not available in this settingRVU18C
2018-04-01$91.78Not available in this settingRVU18B
2018-01-01$91.78Not available in this settingRVU18AR1
2017-10-01$113.72Not available in this settingRVU17D
2017-07-01$113.72Not available in this settingRVU17C
2017-04-01$113.72Not available in this settingRVU17B
2017-01-01$113.72Not available in this settingRVU17A
2016-10-01$115.95Not available in this settingRVU16D
2016-07-01$115.95Not available in this settingRVU16C
2016-04-01$115.95Not available in this settingRVU16B
2016-01-01$115.95Not available in this settingRVU16A
2015-10-01$116.37Not available in this settingRVU15D
2015-07-01$116.37Not available in this settingRVU15C
2015-04-01$115.79Not available in this settingRVU15B
2015-01-01$115.79Not available in this settingRVU15A
2014-10-01$114.84Not available in this settingRVU14D
2014-07-01$114.84Not available in this settingRVU14C
2014-04-01$114.84Not available in this settingRVU14B
2014-01-01$114.84Not available in this settingRVU14A
2013-10-01$118.87Not available in this settingRVU13D
2013-07-01$118.87Not available in this settingRVU13C
2013-04-01$118.87Not available in this settingRVU13B
2013-01-01$118.87Not available in this settingRVU13AR

Price G0248 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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